Elizabeth Gultom
NPI 1043953664ActiveIndividual· Pharmacist· Arlington, MA
Pharmacist in Arlington, Massachusetts, licensed in MA, with an NPI issued in April 2022. Part D covered 22 prescriptions written in 2024.
Overview
| NPI | 1043953664 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 20, 2022 |
| Last updated in NPPES | Apr 21, 2022 |
| Certified by provider | Apr 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | PH240591 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No 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) | 22 · 24 30-day fills |
|---|---|
| Patients | 19 |
| Total drug cost | $4,538 |
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