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Deactivated NPI 1548251424 Deactivated / Inactive NPI Male Practitioner

Tommy Edgeworth , DPH

Pharmacist • Walters, 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, Tommy Edgeworth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 31, 2005
NPI Deactivation Date February 15, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Tommy Edgeworth, DPH was a registered Pharmacist practicing in Walters, OK. Throughout an active medical career spanning 18 years, Tommy Edgeworth provided care at the practice location at RR 3 BOX 224A until profile deactivation on 2023-02-15.

Practice Location & Contact Primary Location

Practice Address

Rr 3 Box 224a

Walters, OK 735729552

Telephone 5805314713
Fax 5805314722

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Walters, OK

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

Practicing in Walters, 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 9062

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 February 15, 2023

Record deactivated on February 15, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at RR 3 BOX 224A, WALTERS, OK 735729552 (Tel: 5805314713)

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Updated Business Mailing Address July 08, 2007

Registered at RR 3 BOX 224A, WALTERS, OK 735729552 (Tel: 5805314713)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TOMMY EDGEWORTH, D.PH.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #9062 in OK)

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Initial NPI Registration & Enumeration October 31, 2005

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: 1548251424
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2005
Last Update: July 08, 2007
Deactivation Date: February 15, 2023

Mailing Address

Rr 3 Box 224a

Walters, OK 735729552

Phone: 5805314713

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.