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Deactivated NPI 1295028736 Deactivated / Inactive NPI Male Practitioner

Robert Bolan

Pharmacist • New Waterford, 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, Robert Bolan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 17, 2011
NPI Deactivation Date April 15, 2021
Total Practice Duration ~10 Years of Practice (2011 – 2021)

Professional Overview & Biography Verified Profile Summary

Robert Bolan was a registered Pharmacist practicing in New Waterford, OH. Throughout an active medical career spanning 10 years, Robert Bolan provided care at the practice location at 46547 CRESTVIEW RD until profile deactivation on 2021-04-15.

Practice Location & Contact Primary Location

Practice Address

46547 Crestview Rd

New Waterford, OH 444458738

Telephone 3304572669

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in New Waterford, OH

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

Practicing in New Waterford, 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 03106890

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 April 15, 2021

Record deactivated on April 15, 2021

NPI Profile Active May 17, 2011

NPI status registered as active in NPPES database

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Updated Practice Location May 17, 2011

Registered at 46547 CRESTVIEW RD, NEW WATERFORD, OH 444458738 (Tel: 3304572669)

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Updated Business Mailing Address May 17, 2011

Registered at 46547 CRESTVIEW RD, NEW WATERFORD, OH 444458738 (Tel: 3304572669)

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Provider Name / Credentials Updated May 17, 2011

Recorded as ROBERT BOLAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2011

Pharmacist (License #03106890 in OH)

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Initial NPI Registration & Enumeration May 17, 2011

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: 1295028736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2011
Last Update: May 17, 2011
Deactivation Date: April 15, 2021

Mailing Address

46547 Crestview Rd

New Waterford, OH 444458738

Phone: 3304572669

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.