Hai Minh Koulaboud, PHARM D.
NPI 1417241530ActiveIndividual· Pharmacist· Derby, KS
Pharmacist (PHARM D.) in Derby, Kansas, licensed in KS, with an NPI issued in June 2011.
Overview
| NPI | 1417241530 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM D. |
| Sole proprietor | Yes |
| NPI issued | Jun 6, 2011 |
| Last updated in NPPES | Aug 20, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 1-14348 | KS |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist providers in Derby
- 1053922617
- 1306253927
- 1326654856
- 1770637456
- 1245512128
- 1194226381
- 1619706546
- 1124700687
- 1679065999
- 1235617804
- 1407459720
- 1669210795