Jacob Douglas Burgis, RPH
NPI 1225851934ActiveIndividual· Pharmacist· Tualatin, OR
Pharmacist (RPH) in Tualatin, Oregon, licensed in OR, with an NPI issued in November 2024. Part D covered 21 prescriptions written in 2024, 0% of them generic.
Overview
| NPI | 1225851934 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPH |
| Sole proprietor | No |
| NPI issued | Nov 2, 2024 |
| Last updated in NPPES | Nov 2, 2024 |
| Certified by provider | Nov 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | RPH-0020309 | OR |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 21 · 21 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $4,983 |
| Generic share | 0% of claims |
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