Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1922344308 Deactivated / Inactive NPI Male Practitioner

Jake Watterson

Pharmacist • La Grande, 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, Jake Watterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 12, 2012
NPI Deactivation Date September 08, 2017
Total Practice Duration ~5 Years of Practice (2012 – 2017)

Professional Overview & Biography Verified Profile Summary

Jake Watterson was a registered Pharmacist practicing in La Grande, OR. Throughout an active medical career spanning 5 years, Jake Watterson provided care at the practice location at 2111 ADAMS AVE until profile deactivation on 2017-09-08.

Practice Location & Contact Primary Location

Practice Address

2111 Adams Ave

La Grande, OR 978502921

Telephone 5416632705
Associated Practice Facility / Clinic
🏢 Safeway Inc Facility NPI 1003845033

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in La Grande, OR

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

Practicing in La Grande, 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 PI0010856

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

1 Associated Practitioners
Bill Mc Dowell

Pharmacist

NPI 1558662627

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 September 08, 2017

Record deactivated on September 08, 2017

NPI Profile Active December 12, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 12, 2012

Registered at 2111 ADAMS AVE, LA GRANDE, OR 978502921 (Tel: 5416632705)

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Updated Business Mailing Address December 12, 2012

Registered at 2111 ADAMS AVE, LA GRANDE, OR 978502921 (Tel: 5416632705)

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Provider Name / Credentials Updated December 12, 2012

Recorded as JAKE WATTERSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2012

Pharmacist (License #PI0010856 in OR)

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Initial NPI Registration & Enumeration December 12, 2012

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: 1922344308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2012
Last Update: December 12, 2012
Deactivation Date: September 08, 2017

Mailing Address

2111 Adams Ave

La Grande, OR 978502921

Phone: 5416632705

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.