Raynold Jose Licor, RPH,CCP
NPI 1205041258ActiveIndividual· Pharmacist· Morris Plains, NJ
Pharmacist (RPH,CCP) in Morris Plains, New Jersey, licensed in NJ, with an NPI issued in May 2007.
Overview
| NPI | 1205041258 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPH,CCP |
| Sole proprietor | Yes |
| NPI issued | May 13, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | RI20620 | NJ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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