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Mario Abner Salazar Jacob, PHARMD

NPI 1215447016ActiveIndividual· Pharmacist· Brookhaven, GA

Pharmacist (PHARMD) in Brookhaven, Georgia, licensed in GA, with an NPI issued in October 2017. Part D covered 33 prescriptions written in 2024, 0% of them generic.

Overview

NPI1215447016
StatusActive
Entity typeIndividual
CredentialPHARMD
Sole proprietorNo
NPI issuedOct 5, 2017
Last updated in NPPESOct 5, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XPHTC028359GA

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

Part D prescriptions in 2024

Prescriptions (claims)33 · 33 30-day fills
Patients28
Total drug cost$6,713
Generic share0% of claims

Medicare sources and data years

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