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Deactivated NPI 1568655777 Deactivated / Inactive NPI Male Practitioner

Mazen Farouk Abushaban , RPH

Pharmacist • Dayton, OH

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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, Mazen Abushaban has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2007
NPI Deactivation Date July 06, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Mazen Abushaban, RPH was a registered Pharmacist practicing in Dayton, OH. Throughout an active medical career spanning 15 years, Mazen Abushaban provided care at the practice location at 301 W 1ST ST until profile deactivation on 2022-07-06.

Practice Location & Contact Primary Location

Practice Address

301 W 1st St

Dayton, OH 454023033

Telephone 9372221400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
390 Specialists

Practicing in Dayton, OH (11028 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 OH 03-3-23905

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

14 Associated Practitioners
Rose Malone-Jones , CNS

Clinical Nurse Specialist - Community Health/Public Health

NPI 1053437061

Clinical Nurse Specialist

NPI 1093923385

Doctor of Osteopathic Medicine (D.O.)

Darla Franjko , PT

Physical Therapist

NPI 1104893890

Physical Therapist

Andrew Bergeron , CDCAII

Counselor - Addiction (Substance Use Disorder)

NPI 1144862897
NPI 1285746289

Doctor of Medicine (M.D.)

Christina Porter , LCDC II

Counselor - Addiction (Substance Use Disorder)

NPI 1306665005

LCDCII

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 July 06, 2022

Record deactivated on July 06, 2022

NPI Profile Active January 09, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 09, 2012

Registered at 301 W 1ST ST, DAYTON, OH 454023033 (Tel: 9372221400)

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Updated Business Mailing Address January 09, 2012

Registered at 301 W 1ST ST, DAYTON, OH 454023033 (Tel: 9372221400)

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Provider Name / Credentials Updated January 09, 2012

Recorded as MAZEN ABUSHABAN, R.PH.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2012

Pharmacist (License #03-3-23905 in OH)

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Initial NPI Registration & Enumeration August 21, 2007

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: 1568655777
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2007
Last Update: January 09, 2012
Deactivation Date: July 06, 2022

Mailing Address

301 W 1st St

Dayton, OH 454023033

Phone: 9372221400

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.