Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659670800 Individual Practitioner Male Practitioner

Dr. Marc A Vaughan , PharmD

Pharmacist - Geriatric • Jackson, WI

Professional Overview & Biography Verified Profile Summary

Dr. Marc Vaughan, PharmD is a registered healthcare professional specializing in Pharmacist - Geriatric in Jackson, WI. Practice services are available at N171W21840 CAYMUS CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

N171w21840 Caymus Ct

Jackson, WI 530371211

Telephone 2626771401
Associated Practice Facility / Clinic
🏢 Pharmscript Of Wi Llc Facility NPI 1306720230

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist - Geriatric in Jackson, WI

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

Practicing in Jackson, WI (20 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

CMS Verified: 2025-03-03
Pharmacist - Geriatric Primary Specialty

NUCC Taxonomy Code: 1835G0303X

State License WI 18274-40

A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License IL 051.293069

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.

Secondary Practice Locations

540 W North St Ste 211

Manhattan, IL 604428202

Phone: 8154784477

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1205994506

Registered Pharmacist

NPI 1851807747

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 03, 2025

Registered at N171W21840 CAYMUS CT, JACKSON, WI 530371211 (Tel: 2626771401)

📍
Updated Business Mailing Address March 03, 2025

Registered at N171W21840 CAYMUS CT, JACKSON, WI 530371211 (Tel: 2626771401)

NPI Profile Active March 26, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2011

Registered at 540 W NORTH ST STE 211, MANHATTAN, IL 604428202 (Tel: 8154784477)

📍
Updated Business Mailing Address March 26, 2011

Registered at 540 W NORTH ST STE 211, MANHATTAN, IL 604428202 (Tel: 8154784477)

👤
Provider Name / Credentials Updated March 26, 2011

Recorded as MARC VAUGHAN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2011

Pharmacist (License #051.293069 in IL)

🟢
Initial NPI Registration & Enumeration March 26, 2011

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: 1659670800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2011
Last Update: March 03, 2025
Sole Proprietor: No

Mailing Address

N171w21840 Caymus Ct

Jackson, WI 530371211

Phone: 2626771401

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.