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Deactivated NPI 1700475225 Deactivated / Inactive NPI Male Practitioner

Wayne Laurie Spencer

Pharmacist • Henryetta, 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, Wayne Spencer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2021
NPI Deactivation Date June 16, 2021
Total Practice Duration ~1 Years of Practice (2021 – 2021)

Professional Overview & Biography Verified Profile Summary

Wayne Spencer was a registered Pharmacist practicing in Henryetta, OK. Throughout an active medical career spanning 1 years, Wayne Spencer provided care at the practice location at 310 W TRUDGEON ST until profile deactivation on 2021-06-16.

Practice Location & Contact Primary Location

Practice Address

310 W Trudgeon St

Henryetta, OK 744374026

Telephone 9186522553
Associated Practice Facility / Clinic
🏢 Hac, Inc. Facility NPI 1033234125

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Henryetta, OK

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

Practicing in Henryetta, 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 9439

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 16, 2021

Record deactivated on June 16, 2021

NPI Profile Active January 11, 2021

NPI status registered as active in NPPES database

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Updated Practice Location January 11, 2021

Registered at 310 W TRUDGEON ST, HENRYETTA, OK 744374026 (Tel: 9186522553)

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Updated Business Mailing Address January 11, 2021

Registered at 310 W TRUDGEON ST, HENRYETTA, OK 744374026 (Tel: 9186522553)

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Provider Name / Credentials Updated January 11, 2021

Recorded as WAYNE SPENCER

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2021

Pharmacist (License #9439 in OK)

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Initial NPI Registration & Enumeration January 11, 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: 1700475225
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2021
Last Update: January 11, 2021
Deactivation Date: June 16, 2021

Mailing Address

310 W Trudgeon St

Henryetta, OK 744374026

Phone: 9186522553

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.