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Deactivated NPI 1063171916 Deactivated / Inactive NPI Male Practitioner

Matthew Justus

Pharmacist • Bristol, VA

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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, Matthew Justus has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 08, 2021
NPI Deactivation Date April 01, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Matthew Justus was a registered Pharmacist practicing in Bristol, VA. Throughout an active medical career spanning 1 years, Matthew Justus provided care at the practice location at 23404 YOUNG DRIVE until profile deactivation on 2022-04-01.

Practice Location & Contact Primary Location

Practice Address

23404 Young Drive

Bristol, VA 242022420

Telephone 2769713051

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bristol, VA

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

Practicing in Bristol, VA (6716 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 VA 0202214207

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 01, 2022

Record deactivated on April 01, 2022

NPI Profile Active December 08, 2021

NPI status registered as active in NPPES database

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Updated Practice Location December 08, 2021

Registered at 23404 YOUNG DRIVE, BRISTOL, VA 242022420 (Tel: 2769713051)

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Updated Business Mailing Address December 08, 2021

Registered at 23404 YOUNG DRIVE, BRISTOL, VA 24202 (Tel: 2769713051)

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Provider Name / Credentials Updated December 08, 2021

Recorded as MATTHEW JUSTUS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2021

Pharmacist (License #0202214207 in VA)

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Initial NPI Registration & Enumeration December 08, 2021

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: 1063171916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2021
Last Update: December 08, 2021
Deactivation Date: April 01, 2022

Mailing Address

23404 Young Drive

Bristol, VA 24202

Phone: 2769713051

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.