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Deactivated NPI 1689180184 Deactivated / Inactive NPI Male Practitioner

Samuel Cooke Ingraham , RP

Pharmacist • Mount Vernon, 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, Samuel Ingraham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 19, 2017
NPI Deactivation Date June 30, 2020
Total Practice Duration ~3 Years of Practice (2017 – 2020)

Professional Overview & Biography Verified Profile Summary

Samuel Ingraham, RP was a registered Pharmacist practicing in Mount Vernon, OH. Throughout an active medical career spanning 3 years, Samuel Ingraham provided care at the practice location at 618 E HIGH ST until profile deactivation on 2020-06-30.

Practice Location & Contact Primary Location

Practice Address

618 E High St

Mount Vernon, OH 430502747

Telephone 7403920333

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Mount Vernon, OH

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

Practicing in Mount Vernon, 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 PA RP025137L

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.

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 June 30, 2020

Record deactivated on June 30, 2020

NPI Profile Active December 19, 2017

NPI status registered as active in NPPES database

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Updated Practice Location December 19, 2017

Registered at 618 E HIGH ST, MOUNT VERNON, OH 430502747 (Tel: 7403920333)

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Updated Business Mailing Address December 19, 2017

Registered at PO BOX 1070, MOUNT VERNON, OH 430501070 (Tel: 7403920333)

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Provider Name / Credentials Updated December 19, 2017

Recorded as SAMUEL INGRAHAM, RP

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2017

Pharmacist (License #RP025137L in PA)

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Initial NPI Registration & Enumeration December 19, 2017

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: 1689180184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2017
Last Update: December 19, 2017
Deactivation Date: June 30, 2020

Mailing Address

Po Box 1070

Mount Vernon, OH 430501070

Phone: 7403920333

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.