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Brent H. Peacock

NPI 1225338239ActiveIndividual· Pharmacist· Jackson, WY

Pharmacist in Jackson, Wyoming, licensed in WY, with an NPI issued in October 2010. Part D covered 136 prescriptions written in 2024.

Overview

NPI1225338239
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedOct 25, 2010
Last updated in NPPESOct 25, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X2773WY

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)136 · 140 30-day fills
Patients122
Total drug cost$32,638

Medicare sources and data years

Other Pharmacist providers in Jackson

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