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Melissa Ann Herzog, PHARMD

NPI 1396000121ActiveIndividual· Pharmacist· Chubbuck, ID

Pharmacist (PHARMD) in Chubbuck, Idaho, licensed in ID, with an NPI issued in July 2012. Part D covered 50 prescriptions written in 2024.

Overview

NPI1396000121
StatusActive
Entity typeIndividual
CredentialPHARMD
Sole proprietorYes
NPI issuedJul 9, 2012
Last updated in NPPESJul 9, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XP4850ID

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)50 · 51 30-day fills
Patients46
Total drug cost$11,879

Medicare sources and data years

Other Pharmacist providers in Chubbuck

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