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Erik Bergstrom, PHARM D

NPI 1073897260ActiveIndividual· Pharmacist· Rexburg, ID

Pharmacist (PHARM D) in Rexburg, Idaho, licensed in ID, with an NPI issued in October 2011.

Overview

NPI1073897260
StatusActive
Entity typeIndividual
CredentialPHARM D
Sole proprietorYes
NPI issuedOct 5, 2011
Last updated in NPPESOct 5, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XP6274ID

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

Medicare sources and data years

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