Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1659411601 Deactivated / Inactive NPI Male Practitioner

Jerry D Mccuan , RPH

Pharmacist • Ralls, TX

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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, Jerry Mccuan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2007
NPI Deactivation Date July 17, 2007
Total Practice Duration ~1 Years of Practice (2007 – 2007)

Professional Overview & Biography Verified Profile Summary

Jerry Mccuan, RPH was a registered Pharmacist practicing in Ralls, TX. Throughout an active medical career spanning 1 years, Jerry Mccuan provided care at the practice location at 821 MAIN ST until profile deactivation on 2007-07-17.

Practice Location & Contact Primary Location

Practice Address

821 Main St

Ralls, TX 79357

Telephone 8062532256
Fax 8062532401
Associated Practice Facility / Clinic
🏢 Ralls Pharmacy Facility NPI 1396902706

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Ralls, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Ralls, TX (18958 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 TX 17541

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
140384 (TX)

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 Reactivated February 19, 2008

Record officially reactivated for active practice on February 19, 2008

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Updated Practice Location February 19, 2008

Registered at 821 MAIN ST, RALLS, TX 79357 (Tel: 8062532256)

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Updated Business Mailing Address February 19, 2008

Registered at PO BOX 759, 821 MAIN ST, RALLS, TX 793570759 (Tel: 8062532256)

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Provider Name / Credentials Updated February 19, 2008

Recorded as JERRY MCCUAN, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2008

Pharmacist (License #17541 in TX)

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NPI Profile Deactivated July 17, 2007

Record deactivated on July 17, 2007

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Initial NPI Registration & Enumeration February 07, 2007

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: 1659411601
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: February 19, 2008
Deactivation Date: July 17, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 759, 821 Main St

Ralls, TX 793570759

Phone: 8062532256

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.