Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1033618368 Deactivated / Inactive NPI Male Practitioner

Richard Arthur Jesse

Pharmacist • Crandon, 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, Richard Jesse has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 01, 2018
NPI Deactivation Date November 04, 2019
Total Practice Duration ~1 Years of Practice (2018 – 2019)

Professional Overview & Biography Verified Profile Summary

Richard Jesse was a registered Pharmacist practicing in Crandon, WI. Throughout an active medical career spanning 1 years, Richard Jesse provided care at the practice location at 600 E PIONEER ST until profile deactivation on 2019-11-04.

Practice Location & Contact Primary Location

Practice Address

600 E Pioneer St

Crandon, WI 545201662

Telephone 7154783369
Associated Practice Facility / Clinic
🏢 Mide Inc. Facility NPI 1336295245

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Crandon, WI

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

Practicing in Crandon, 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 9459-40

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

1 Associated Practitioners
Kayla Kircher , RN

Registered Nurse

NPI 1730995945

Registered Nurse

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 November 04, 2019

Record deactivated on November 04, 2019

NPI Profile Active February 01, 2018

NPI status registered as active in NPPES database

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Updated Practice Location February 01, 2018

Registered at 600 E PIONEER ST, CRANDON, WI 545201662 (Tel: 7154783369)

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Updated Business Mailing Address February 01, 2018

Registered at 304 N HAZELDELL AVE, CRANDON, WI 545201338

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Provider Name / Credentials Updated February 01, 2018

Recorded as RICHARD JESSE

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2018

Pharmacist (License #9459-40 in WI)

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Initial NPI Registration & Enumeration February 01, 2018

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: 1033618368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2018
Last Update: February 01, 2018
Deactivation Date: November 04, 2019

Mailing Address

304 N Hazeldell Ave

Crandon, WI 545201338

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.