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Deactivated NPI 1568786721 Deactivated / Inactive NPI Female Practitioner

Smithamol Samge Chacko

Pharmacist • Williston Park, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Smithamol Chacko has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 17, 2010
NPI Deactivation Date November 21, 2023
Total Practice Duration ~13 Years of Practice (2010 – 2023)

Professional Overview & Biography Verified Profile Summary

Smithamol Chacko was a registered Pharmacist practicing in Williston Park, NY. Throughout an active medical career spanning 13 years, Smithamol Chacko provided care at the practice location at 243 COLONIAL AVE until profile deactivation on 2023-11-21.

Practice Location & Contact Primary Location

Practice Address

243 Colonial Ave

Williston Park, NY 115961045

Telephone 5167124550

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Williston Park, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Williston Park, NY (23779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 054293

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Christeena Paulson

Counselor - Addiction (Substance Use Disorder)

NPI 1669132734

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 21, 2023

Record deactivated on November 21, 2023

NPI Profile Active March 17, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 17, 2010

Registered at 243 COLONIAL AVE, WILLISTON PARK, NY 115961045 (Tel: 5167124550)

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Updated Business Mailing Address March 17, 2010

Registered at 243 COLONIAL AVE, WILLISTON PARK, NY 115961045 (Tel: 5167124550)

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Provider Name / Credentials Updated March 17, 2010

Recorded as SMITHAMOL CHACKO

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2010

Pharmacist (License #054293 in NY)

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Initial NPI Registration & Enumeration March 17, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568786721
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2010
Last Update: March 17, 2010
Deactivation Date: November 21, 2023

Mailing Address

243 Colonial Ave

Williston Park, NY 115961045

Phone: 5167124550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.