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Deactivated NPI 1114026119 Deactivated / Inactive NPI Male Practitioner

Kenneth Allen Dickason , RPH, CDM

Pharmacist • Corvallis, OR

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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, Kenneth Dickason has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2006
NPI Deactivation Date July 26, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Kenneth Dickason, RPH, CDM was a registered Pharmacist practicing in Corvallis, OR. Throughout an active medical career spanning 12 years, Kenneth Dickason provided care at the practice location at 1586 NW FORESTGREEN AVE until profile deactivation on 2018-07-26.

Practice Location & Contact Primary Location

Practice Address

1586 Nw Forestgreen Ave

Corvallis, OR 973301320

Telephone 5417532930

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Corvallis, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
70 Specialists

Practicing in Corvallis, OR (3654 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 OR 9647

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 July 26, 2018

Record deactivated on July 26, 2018

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 1586 NW FORESTGREEN AVE, CORVALLIS, OR 973301320 (Tel: 5417532930)

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Updated Business Mailing Address July 08, 2007

Registered at 1586 NW FORESTGREEN AVE, CORVALLIS, OR 973301320 (Tel: 5417532930)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH DICKASON, RPH,CDM

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

Pharmacist (License #9647 in OR)

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Initial NPI Registration & Enumeration September 22, 2006

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: 1114026119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: July 08, 2007
Deactivation Date: July 26, 2018

Mailing Address

1586 Nw Forestgreen Ave

Corvallis, OR 973301320

Phone: 5417532930

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.