Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1003588971 Deactivated / Inactive NPI Male Practitioner

Cameron Van Dyke , RPH

Pharmacist • Marietta, 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, Cameron Van Dyke has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2021
NPI Deactivation Date December 12, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Cameron Van Dyke, RPH was a registered Pharmacist practicing in Marietta, OH. Throughout an active medical career spanning 3 years, Cameron Van Dyke provided care at the practice location at 128 GROSS ST until profile deactivation on 2024-12-12.

Practice Location & Contact Primary Location

Practice Address

128 Gross St

Marietta, OH 457502031

Telephone 7403743127
Fax 7403743296
Associated Practice Facility / Clinic
🏢 The Tamarkin Company Facility NPI 1568477487

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Marietta, OH

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

Practicing in Marietta, 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 03322169

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

3 Associated Practitioners
NPI 1033880554

Registered Pharmacist

Angela Reich

Pharmacist

NPI 1891466736
NPI 1962165803

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 December 12, 2024

Record deactivated on December 12, 2024

NPI Profile Active September 29, 2021

NPI status registered as active in NPPES database

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Updated Practice Location September 29, 2021

Registered at 128 GROSS ST, MARIETTA, OH 457502031 (Tel: 7403743127)

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Updated Business Mailing Address September 29, 2021

Registered at 128 GROSS ST, MARIETTA, OH 457502031 (Tel: 7403743127)

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Provider Name / Credentials Updated September 29, 2021

Recorded as CAMERON VAN DYKE, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2021

Pharmacist (License #03322169 in OH)

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Initial NPI Registration & Enumeration September 29, 2021

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: 1003588971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2021
Last Update: September 29, 2021
Deactivation Date: December 12, 2024

Mailing Address

128 Gross St

Marietta, OH 457502031

Phone: 7403743127

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.