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Mark Ryan Weidle, PHARMD

NPI 1316612542ActiveIndividual· Pharmacist· Washington, MO

Pharmacist (PHARMD) in Washington, Missouri, licensed in MO, with an NPI issued in August 2021. Part D covered 67 prescriptions written in 2024, 0% of them generic.

Overview

NPI1316612542
StatusActive
Entity typeIndividual
CredentialPHARMD
Sole proprietorNo
NPI issuedAug 10, 2021
Last updated in NPPESAug 10, 2021
Certified by providerAug 10, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X2002017019MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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)67 · 67 30-day fills
Patients58
Total drug cost$12,550
Generic share0% of claims

Medicare sources and data years

Other Pharmacist providers in Washington

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