Roger Douglas Doran , RPH
Pharmacist • Antigo, WI
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, Roger Doran has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Roger Doran, RPH was a registered Pharmacist practicing in Antigo, WI. Throughout an active medical career spanning 14 years, Roger Doran provided care at the practice location at 536 5TH AVE until profile deactivation on 2019-04-12.
Practice Location & Contact Primary Location
536 5th Ave
Lakesise Pharmacy
Antigo, WI 544092221
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Antigo, WI
Practicing in Antigo, WI (5503 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
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
Pharmacist
Registered Pharmacist
Pharmacist
Registered Pharmacist
Pharmacist
Registered Pharmacist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 12, 2019
NPI status registered as active in NPPES database
Registered at 536 5TH AVE, LAKESISE PHARMACY, ANTIGO, WI 544092221 (Tel: 7156236887)
Registered at 1503 CLERMONT ST, ANTIGO, WI 544092312 (Tel: 7156277049)
Recorded as ROGER DORAN, RPH
Pharmacist (License #6871 040 in WI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1503 Clermont St
Antigo, WI 544092312
Phone: 7156277049
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