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Theresa De Jager, PHARMACIST

NPI 1235646019ActiveIndividual· Pharmacist· Mankato, MN

Pharmacist (PHARMACIST) in Mankato, Minnesota, licensed in MN, with an NPI issued in January 2018. Part D covered 66 prescriptions written in 2024, 0% of them generic.

Overview

NPI1235646019
StatusActive
Entity typeIndividual
CredentialPHARMACIST
Sole proprietorNo
NPI issuedJan 3, 2018
Last updated in NPPESJan 3, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X123219MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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)66 · 66 30-day fills
Patients55
Total drug cost$15,838
Generic share0% of claims

Medicare sources and data years

Other pharmacists in Mankato

All 79 pharmacists in Mankato · All pharmacists in Minnesota