Afton Pharmacy Store
NPI 1104417112ActiveOrganization· Pharmacist· Jeffersonville, IN
Pharmacist in Jeffersonville, Indiana, registered in NPPES in February 2021. The authorized official on file is Brenda Robertson, Manager.
Overview
| NPI | 1104417112 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2021 |
| Last updated in NPPES | Feb 2, 2021 |
| Certified by provider | Feb 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist providers in Jeffersonville
- 1992101307
- 1346991585
- 1194594242
- 1336970607
- 1720688500
- 1467736140
- 1346523347
- 1306427273
- 1558288019
- 1912303926
- 1093104341
- 1982474771