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Kathy Gore

NPI 1073111803ActiveIndividual· Pharmacist· Superior, WI

Pharmacist in Superior, Wisconsin, licensed in WI, with an NPI issued in October 2020.

Overview

NPI1073111803
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedOct 14, 2020
Last updated in NPPESOct 14, 2020
Certified by providerOct 14, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X1485704040WI

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

Medicare sources and data years

Other pharmacists in Superior

All 29 pharmacists in Superior · All pharmacists in Wisconsin