Powell Valley Health Care, Inc.
NPI 1104965003ActiveOrganization· Pharmacy, Institutional Pharmacy· Powell, WY
Pharmacy, Institutional Pharmacy in Powell, Wyoming, registered in NPPES in February 2007. The authorized official on file is Terry Odom, CEO, Ceo. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1104965003 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2007 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Jan 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Institutional Pharmacy Primary | 3336I0012X | 5201342 | WY |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | 5201342 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (WY) |
|---|