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Randell Jake, PHARMD

NPI 1154609774ActiveIndividual· Pharmacist· Albuquerque, NM

Pharmacist (PHARMD) in Albuquerque, New Mexico, licensed in NM, with an NPI issued in July 2011. Part D covered 207 prescriptions written in 2024, 0% of them generic.

Overview

NPI1154609774
StatusActive
Entity typeIndividual
CredentialPHARMD
Sole proprietorNo
NPI issuedJul 31, 2011
Last updated in NPPESFeb 14, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XRP00007700NM

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

Part D prescriptions in 2024

Prescriptions (claims)207 · 207 30-day fills
Patients158
Total drug cost$38,475
Generic share0% of claims

Medicare sources and data years

Other pharmacists in Albuquerque

All 922 pharmacists in Albuquerque · All pharmacists in New Mexico