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NPI 1386014371ActiveIndividual· Pharmacist· Lewiston, ID
Pharmacist in Lewiston, Idaho, licensed in ID and WA, with an NPI issued in October 2015. Part D covered 72 prescriptions written in 2024, 68% of them generic.
Overview
| NPI | 1386014371 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 2, 2015 |
| Last updated in NPPES | May 19, 2022 |
| Certified by provider | May 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | P9968 | ID |
| Pharmacist | 183500000X | 60473037 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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) | 72 · 106 30-day fills |
|---|---|
| Patients | 42 |
| Total drug cost | $8,479 |
| Generic share | 68% of claims |
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