Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1205007085 Deactivated / Inactive NPI Female Practitioner

Kimberly L Ickes , RPH

Pharmacist • Vermilion, 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, Kimberly Ickes has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 19, 2008
NPI Deactivation Date January 08, 2026
Total Practice Duration ~18 Years of Practice (2008 – 2026)

Professional Overview & Biography Verified Profile Summary

Kimberly Ickes, RPH was a registered Pharmacist practicing in Vermilion, OH. Throughout an active medical career spanning 18 years, Kimberly Ickes provided care at the practice location at 1605 STATE ROUTE 60 until profile deactivation on 2026-01-08.

Practice Location & Contact Primary Location

Practice Address

1605 State Route 60
Suite 11

Vermilion, OH 44089

Telephone 4409673100
Associated Practice Facility / Clinic
🏢 Apotheke Inc Facility NPI 1669577425

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Vermilion, OH

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

Practicing in Vermilion, 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 03-2-10057

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
NPI 1154346658

Doctor of Medicine (M.D.)

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 January 08, 2026

Record deactivated on January 08, 2026

NPI Profile Active March 19, 2008

NPI status registered as active in NPPES database

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Updated Practice Location March 19, 2008

Registered at 1605 STATE ROUTE 60, SUITE 11, VERMILION, OH 44089 (Tel: 4409673100)

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Updated Business Mailing Address March 19, 2008

Registered at 608 DECATUR ST, VERMILION, OH 440891102 (Tel: 4409632260)

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Provider Name / Credentials Updated March 19, 2008

Recorded as KIMBERLY ICKES, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2008

Pharmacist (License #03-2-10057 in OH)

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Initial NPI Registration & Enumeration March 19, 2008

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: 1205007085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2008
Last Update: March 19, 2008
Deactivation Date: January 08, 2026

Mailing Address

608 Decatur St

Vermilion, OH 440891102

Phone: 4409632260

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.