NPI 1255005872
NPI 1255005872DeactivatedUnknown
This NPI was deactivated on Nov 13, 2025. Claims billed under a deactivated NPI are rejected.
This NPI was deactivated in November 2025. Provider. Part D covered 76 prescriptions written in 2024, 75% of them generic.
Overview
| NPI | 1255005872 |
|---|---|
| Status | Deactivated Nov 13, 2025 |
| Entity type | Unknown |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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) | 76 · 76 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $34,221 |
| Generic share | 75% of claims |