Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1063819803 Deactivated / Inactive NPI Male Practitioner

Jerry Kahn , RPH

Pharmacist • Glendale, 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, Jerry Kahn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 21, 2014
NPI Deactivation Date September 04, 2025
Total Practice Duration ~11 Years of Practice (2014 – 2025)

Professional Overview & Biography Verified Profile Summary

Jerry Kahn, RPH was a registered Pharmacist practicing in Glendale, WI. Throughout an active medical career spanning 11 years, Jerry Kahn provided care at the practice location at 1735 W SILVER SPRING DR until profile deactivation on 2025-09-04.

Practice Location & Contact Primary Location

Practice Address

1735 W Silver Spring Dr

Glendale, WI 532094400

Telephone 4142478581
Associated Practice Facility / Clinic
🏢 Roundys Supermarkets Inc Facility NPI 1003966326

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Glendale, WI

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

Practicing in Glendale, 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 10063-40

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
NPI 1427455468

Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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NPI Profile Deactivated September 04, 2025

Record deactivated on September 04, 2025

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Updated Practice Location November 07, 2019

Registered at 10150 W NATIONAL AVE STE 370, WEST ALLIS, WI 532272152 (Tel: 2627822090)

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Updated Business Mailing Address November 07, 2019

Registered at 10150 W NATIONAL AVE STE 370, WEST ALLIS, WI 532272152 (Tel: 2627822090)

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Provider Name / Credentials Updated November 07, 2019

Recorded as JERRY KAHN, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2019

Social Worker (License #9247-123 in WI)

NPI Profile Active November 21, 2014

NPI status registered as active in NPPES database

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Updated Practice Location November 21, 2014

Registered at 1735 W SILVER SPRING DR, GLENDALE, WI 532094400 (Tel: 4142478581)

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Updated Business Mailing Address November 21, 2014

Registered at 1735 W SILVER SPRING DR, GLENDALE, WI 532094400 (Tel: 4142478581)

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Provider Name / Credentials Updated November 21, 2014

Recorded as JERRY KAHN, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2014

Pharmacist (License #10063-40 in WI)

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Initial NPI Registration & Enumeration November 21, 2014

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: 1063819803
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2014
Last Update: November 21, 2014
Deactivation Date: September 04, 2025

Mailing Address

1735 W Silver Spring Dr

Glendale, WI 532094400

Phone: 4142478581

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.