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Chaysen Chong

NPI 1174110472ActiveIndividual· Pharmacist· Hayden, ID

Pharmacist in Hayden, Idaho, licensed in ID, with an NPI issued in December 2020. Part D covered 29 prescriptions written in 2024.

Overview

NPI1174110472
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedDec 21, 2020
Last updated in NPPESDec 21, 2020
Certified by providerDec 21, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XP8724ID

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)29 · 70 30-day fills
Patients16
Total drug cost$1,347

Medicare sources and data years

Other Pharmacist providers in Hayden

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