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Cheyene Joseph Nickerson

NPI 1306369681ActiveIndividual· Pharmacist· Blackfoot, ID

Pharmacist in Blackfoot, Idaho, licensed in ID, with an NPI issued in July 2017. Part D covered 42 prescriptions written in 2024, 74% of them generic.

Overview

NPI1306369681
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJul 19, 2017
Last updated in NPPESJan 17, 2025
Certified by providerJan 17, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XP7793ID

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)42 · 44 30-day fills
Patients39
Total drug cost$3,521
Generic share74% of claims

Medicare sources and data years

Other pharmacists in Blackfoot

All 24 pharmacists in Blackfoot · All pharmacists in Idaho