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Jason Basham

NPI 1194181669ActiveIndividual· Pharmacist· Conway, SC

Pharmacist in Conway, South Carolina, licensed in SC and KY, with an NPI issued in January 2016.

Overview

NPI1194181669
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJan 13, 2016
Last updated in NPPESJan 13, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X9657SC
Pharmacist183500000X011627KY

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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

Medicare sources and data years

Other Pharmacist providers in Conway

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