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Jordan Anderson, PHARMD

NPI 1063134856ActiveIndividual· Pharmacist· Bend, OR

Pharmacist (PHARMD) in Bend, Oregon, licensed in OR, with an NPI issued in September 2022. Part D covered 210 prescriptions written in 2024, 0% of them generic.

Overview

NPI1063134856
StatusActive
Entity typeIndividual
CredentialPHARMD
Sole proprietorNo
NPI issuedSep 19, 2022
Last updated in NPPESSep 19, 2022
Certified by providerSep 16, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X0019109OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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)210 · 210 30-day fills
Patients190
Total drug cost$43,934
Generic share0% of claims

Medicare sources and data years

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