Pbcc Pharmacy LLC
NPI 1366070476ActiveOrganization· Pharmacy· Springfield, IL
Pharmacy in Springfield, Illinois, registered in NPPES in April 2020. The authorized official on file is Osvaldo Wesly, Medical Director. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1366070476 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2020 |
| Last updated in NPPES | Apr 7, 2025 |
| Certified by provider | Apr 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — | — |
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) | Enrolled Part B Supplier - Pharmacy (IL) |
|---|
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