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Richard Wayne Black

NPI 1093545014ActiveIndividual· Pharmacist· Idaho Falls, ID

Pharmacist in Idaho Falls, Idaho, licensed in ID, with an NPI issued in August 2024. Part D covered 19 prescriptions written in 2024.

Overview

NPI1093545014
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 5, 2024
Last updated in NPPESAug 5, 2024
Certified by providerAug 5, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X7161471ID

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)19 · 21 30-day fills
Patients18
Total drug cost$3,038

Medicare sources and data years

Other Pharmacist providers in Idaho Falls

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