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Creesa Octavio

NPI 1013736248ActiveIndividual· Pharmacist· Shoreline, WA

Pharmacist in Shoreline, Washington, licensed in WA, with an NPI issued in October 2024. Part D covered 18 prescriptions written in 2024, 0% of them generic.

Overview

NPI1013736248
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedOct 4, 2024
Last updated in NPPESOct 4, 2024
Certified by providerOct 4, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XPH61534059WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)18 · 18 30-day fills
Patients17
Total drug cost$3,248
Generic share0% of claims

Medicare sources and data years

Other pharmacists in Shoreline

All 46 pharmacists in Shoreline · All pharmacists in Washington