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Deactivated NPI 1174864748 Deactivated / Inactive NPI Male Practitioner

James L Dykstra , RPH

Pharmacist • Reeseville, 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, James Dykstra has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2013
NPI Deactivation Date June 13, 2018
Total Practice Duration ~5 Years of Practice (2013 – 2018)

Professional Overview & Biography Verified Profile Summary

James Dykstra, RPH was a registered Pharmacist practicing in Reeseville, WI. Throughout an active medical career spanning 5 years, James Dykstra provided care at the practice location at 202 S MAIN ST until profile deactivation on 2018-06-13.

Practice Location & Contact Primary Location

Practice Address

202 S Main St

Reeseville, WI 535799667

Telephone 9209273305
Fax 9209273307
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Reeseville, WI

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

Practicing in Reeseville, 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 9060-40

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.

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 June 13, 2018

Record deactivated on June 13, 2018

NPI Profile Active March 07, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 07, 2013

Registered at 202 S MAIN ST, REESEVILLE, WI 535799667 (Tel: 9209273305)

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Updated Business Mailing Address March 07, 2013

Registered at 202 S MAIN ST, P.O. BOX 87, REESEVILLE, WI 535799667 (Tel: 9209273305)

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Provider Name / Credentials Updated March 07, 2013

Recorded as JAMES DYKSTRA, R.PH.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2013

Pharmacist (License #9060-40 in WI)

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Initial NPI Registration & Enumeration March 07, 2013

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: 1174864748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2013
Last Update: March 07, 2013
Deactivation Date: June 13, 2018

Mailing Address

202 S Main St, P.o. Box 87

Reeseville, WI 535799667

Phone: 9209273305

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.