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NPI 1063789394ActiveIndividual· Pharmacist· Asheville, NC

Pharmacist in Asheville, North Carolina, licensed in NC, with an NPI issued in December 2011. Part D covered 92 prescriptions written in 2024, 90% of them generic.

Overview

NPI1063789394
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedDec 1, 2011
Last updated in NPPESJun 25, 2026
Certified by providerJun 25, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X22133NC

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)92 · 192 30-day fills
Patients60
Total drug cost$4,499
Generic share90% of claims

Medicare sources and data years

Other pharmacists in Asheville

All 301 pharmacists in Asheville · All pharmacists in North Carolina