Medication Management Services
NPI 1407095250ActiveOrganization· Pharmacist, Pharmacotherapy· Thief River Falls, MN
Pharmacist, Pharmacotherapy in Thief River Falls, Minnesota, registered in NPPES in February 2009. The authorized official on file is Jan E. Pederson, PHARM.D., Pharm.D./Owner.
Overview
| NPI | 1407095250 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2009 |
| Last updated in NPPES | Feb 18, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Pharmacotherapy Primary | 1835P1200X | 116988 | MN |
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 |
|---|