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Deactivated NPI 1922604636 Deactivated / Inactive NPI Male Practitioner

Travis David Tichenor

Pharmacist • Winnsboro, 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, Travis Tichenor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 08, 2020
NPI Deactivation Date April 10, 2025
Total Practice Duration ~5 Years of Practice (2020 – 2025)

Professional Overview & Biography Verified Profile Summary

Travis Tichenor was a registered Pharmacist practicing in Winnsboro, TX. Throughout an active medical career spanning 5 years, Travis Tichenor provided care at the practice location at 604 S MAIN ST until profile deactivation on 2025-04-10.

Practice Location & Contact Primary Location

Practice Address

604 S Main St

Winnsboro, TX 754943230

Telephone 9033425217
Associated Practice Facility / Clinic
🏢 Cvs Pharmacy Inc Facility NPI 1619035854

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Winnsboro, TX

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

Practicing in Winnsboro, 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 18466

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 April 10, 2025

Record deactivated on April 10, 2025

NPI Profile Active December 08, 2020

NPI status registered as active in NPPES database

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Updated Practice Location December 08, 2020

Registered at 604 S MAIN ST, WINNSBORO, TX 754943230 (Tel: 9033425217)

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Updated Business Mailing Address December 08, 2020

Registered at 604 S MAIN ST, WINNSBORO, TX 754943230

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Provider Name / Credentials Updated December 08, 2020

Recorded as TRAVIS TICHENOR

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2020

Pharmacist (License #18466 in TX)

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Initial NPI Registration & Enumeration December 08, 2020

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: 1922604636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2020
Last Update: December 08, 2020
Deactivation Date: April 10, 2025

Mailing Address

604 S Main St

Winnsboro, TX 754943230

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.