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Deactivated NPI 1861633034 Deactivated / Inactive NPI Male Practitioner

Charles Dale Holcomb , DPH (PHARMACIST)

Pharmacist • Jay, 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, Charles Holcomb has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 17, 2009
NPI Deactivation Date February 18, 2019
Total Practice Duration ~10 Years of Practice (2009 – 2019)

Professional Overview & Biography Verified Profile Summary

Charles Holcomb, DPH (PHARMACIST) was a registered Pharmacist practicing in Jay, OK. Throughout an active medical career spanning 10 years, Charles Holcomb provided care at the practice location at 1015 WASBOURNE until profile deactivation on 2019-02-18.

Practice Location & Contact Primary Location

Practice Address

1015 Wasbourne

Jay, OK 74346

Telephone 9182534271
Fax 9182533287
Associated Practice Facility / Clinic
🏢 Cherokee Nation Facility NPI 1659388965

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jay, OK

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

Practicing in Jay, 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 8647

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

9 Associated Practitioners
Dr. George Conrad , MD

Family Medicine

NPI 1245223858

Doctor of Medicine (M.D.)

Pauletta Bearpaw , LPN

Licensed Practical Nurse

NPI 1255099552

Licensed Practical Nurse

Dr. Calin Kirk , MD

Family Medicine

NPI 1255718607

Doctor of Medicine (M.D.)

NPI 1336419845

Doctor of Pharmacy (Pharm.D.)

NPI 1447773452

Doctor of Optometry

NPI 1548272578

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 February 18, 2019

Record deactivated on February 18, 2019

NPI Profile Active March 17, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 17, 2009

Registered at 1015 WASBOURNE, JAY, OK 74346 (Tel: 9182534271)

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Updated Business Mailing Address March 17, 2009

Registered at 1015 WASHBOURNE, JAY, OK 74346 (Tel: 9182534271)

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Provider Name / Credentials Updated March 17, 2009

Recorded as CHARLES HOLCOMB, DPH (PHARMACIST)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2009

Pharmacist (License #8647 in OK)

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Initial NPI Registration & Enumeration March 17, 2009

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: 1861633034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2009
Last Update: March 17, 2009
Deactivation Date: February 18, 2019

Mailing Address

1015 Washbourne

Jay, OK 74346

Phone: 9182534271

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.