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Deactivated NPI 1881679686 Deactivated / Inactive NPI Male Practitioner

Roger Douglas Doran , RPH

Pharmacist • Antigo, WI

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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, Roger Doran has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 14, 2005
NPI Deactivation Date April 12, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

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

Practice Address

536 5th Ave
Lakesise Pharmacy

Antigo, WI 544092221

Telephone 7156236887
Fax 7156236887
Associated Practice Facility / Clinic
🏢 Vosmek Drug Store Inc Facility NPI 1346285707

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Antigo, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Antigo, WI (5503 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 WI 6871 040

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

3 Associated Practitioners
NPI 1164503439

Registered Pharmacist

NPI 1487735759

Registered Pharmacist

NPI 1831270107

Registered Pharmacist

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 12, 2019

Record deactivated on April 12, 2019

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 536 5TH AVE, LAKESISE PHARMACY, ANTIGO, WI 544092221 (Tel: 7156236887)

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Updated Business Mailing Address July 08, 2007

Registered at 1503 CLERMONT ST, ANTIGO, WI 544092312 (Tel: 7156277049)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROGER DORAN, RPH

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

Pharmacist (License #6871 040 in WI)

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Initial NPI Registration & Enumeration December 14, 2005

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: 1881679686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2005
Last Update: July 08, 2007
Deactivation Date: April 12, 2019

Mailing Address

1503 Clermont St

Antigo, WI 544092312

Phone: 7156277049

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.