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Deactivated NPI 1992097588 Deactivated / Inactive NPI Male Practitioner

Issa Issa Madhoun , RPH

Pharmacist • Woonsocket, RI

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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, Issa Madhoun has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 14, 2011
NPI Deactivation Date November 14, 2017
Total Practice Duration ~6 Years of Practice (2011 – 2017)

Professional Overview & Biography Verified Profile Summary

Issa Madhoun, RPH was a registered Pharmacist practicing in Woonsocket, RI. Throughout an active medical career spanning 6 years, Issa Madhoun provided care at the practice location at 1 CVS DR until profile deactivation on 2017-11-14.

Practice Location & Contact Primary Location

Practice Address

1 Cvs Dr

Woonsocket, RI 028956146

Telephone 4017651500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Woonsocket, RI

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

Practicing in Woonsocket, RI (1049 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

CMS Verified: 2021-08-20
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 085551

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02142143 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sang Kim

Pharmacist

NPI 1003378704
Kristen Jessee

Pharmacist

NPI 1003749060
NPI 1043400542

Registered Pharmacist, Master of Business Administration

NPI 1063795961

Registered Pharmacist

NPI 1114640257

Pharmacist

Patricia Uba

Registered Nurse

NPI 1154918068

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location August 20, 2021

Registered at 1 CVS DR, WOONSOCKET, RI 028956146 (Tel: 4017651500)

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Updated Business Mailing Address August 20, 2021

Registered at 1 CVS DR, WOONSOCKET, RI 028956146 (Tel: 4017651500)

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Provider Name / Credentials Updated August 20, 2021

Recorded as ISSA MADHOUN, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2021

Pharmacist (License #085551 in NY)

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NPI Profile Deactivated November 14, 2017

Record deactivated on November 14, 2017

NPI Profile Active July 28, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 28, 2015

Registered at 1 CVS DR, WOONSOCKET, RI 028956146 (Tel: 4017651500)

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Updated Business Mailing Address July 28, 2015

Registered at 1 CVS DR, WOONSOCKET, RI 028956146 (Tel: 4017651500)

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Provider Name / Credentials Updated July 28, 2015

Recorded as ISSA MADHOUN, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2015

Pharmacist (License #085551 in NY)

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Initial NPI Registration & Enumeration May 14, 2011

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: 1992097588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2011
Last Update: August 20, 2021
Deactivation Date: November 14, 2017
Sole Proprietor: Yes

Mailing Address

1 Cvs Dr

Woonsocket, RI 028956146

Phone: 4017651500

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.