Cletus Lesia Gana Fomban, PH 60759925
NPI 1265941256ActiveIndividual· Pharmacist· Tumwater, WA
Pharmacist (PH 60759925) in Tumwater, Washington, licensed in WA, with an NPI issued in September 2017. Part D covered 36 prescriptions written in 2024.
Overview
| NPI | 1265941256 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH 60759925 |
| Sole proprietor | No |
| NPI issued | Sep 22, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | PH60759925 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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) | 36 · 36 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $3,683 |
Other Pharmacist providers in Tumwater
- 1528466232
- 1881968642
- 1336850353
- 1790110278
- 1235592155
- 1003219668
- 1811305212
- 1114227832
- 1306669163
- 1376467480
- 1174823785
- 1871318014