Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1003907981 Deactivated / Inactive NPI Male Practitioner

Jack Thomas Cunningham , DPH

Pharmacist • Milan, TN

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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, Jack Cunningham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 27, 2006
NPI Deactivation Date September 11, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Jack Cunningham, DPH was a registered Pharmacist practicing in Milan, TN. Throughout an active medical career spanning 14 years, Jack Cunningham provided care at the practice location at 3107 HIGHLAND ST until profile deactivation on 2020-09-11.

Practice Location & Contact Primary Location

Practice Address

3107 Highland St

Milan, TN 383583113

Telephone 7316867467
Fax 7316869530
Associated Practice Facility / Clinic
🏢 Flippin Drug Company, Inc Facility NPI 1316968308

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Milan, TN

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

Practicing in Milan, TN (7476 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 TN 2876

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
Mark Lee , DPH

Pharmacist

NPI 1275803843

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 11, 2020

Record deactivated on September 11, 2020

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 3107 HIGHLAND ST, MILAN, TN 383583113 (Tel: 7316867467)

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Updated Business Mailing Address July 08, 2007

Registered at 9074 S 1ST ST, MILAN, TN 383586157 (Tel: 7316868845)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK CUNNINGHAM, DPH

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

Pharmacist (License #2876 in TN)

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Initial NPI Registration & Enumeration September 27, 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: 1003907981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: July 08, 2007
Deactivation Date: September 11, 2020

Mailing Address

9074 S 1st St

Milan, TN 383586157

Phone: 7316868845

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.