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Deactivated NPI 1205201548 Deactivated / Inactive NPI Female Practitioner

Dr. Jerrica Hallum , PharmD

Pharmacist • Broken Bow, OK

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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, Dr. Jerrica Hallum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 12, 2015
NPI Deactivation Date October 13, 2020
Total Practice Duration ~5 Years of Practice (2015 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jerrica Hallum, PharmD was a registered Pharmacist practicing in Broken Bow, OK. Throughout an active medical career spanning 5 years, Dr. Hallum provided care at the practice location at 501 S PARK DR until profile deactivation on 2020-10-13.

Practice Location & Contact Primary Location

Practice Address

501 S Park Dr

Broken Bow, OK 747285329

Telephone 5805843335
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1053338178

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Broken Bow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Broken Bow, OK (3455 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 OK 16194

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 October 13, 2020

Record deactivated on October 13, 2020

NPI Profile Active December 12, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 12, 2015

Registered at 501 S PARK DR, BROKEN BOW, OK 747285329 (Tel: 5805843335)

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Updated Business Mailing Address December 12, 2015

Registered at 501 S PARK DR, BROKEN BOW, OK 747285329

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Provider Name / Credentials Updated December 12, 2015

Recorded as JERRICA HALLUM, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2015

Pharmacist (License #16194 in OK)

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Initial NPI Registration & Enumeration December 12, 2015

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: 1205201548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2015
Last Update: December 12, 2015
Deactivation Date: October 13, 2020

Mailing Address

501 S Park Dr

Broken Bow, OK 747285329

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.