Corey Vandenboom, R.PH
NPI 1417257395ActiveIndividual· Pharmacist· Graham, WA
Pharmacist (R.PH) in Graham, Washington, licensed in WA, with an NPI issued in October 2010. Part D covered 98 prescriptions written in 2024.
Overview
| NPI | 1417257395 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.PH |
| Sole proprietor | No |
| NPI issued | Oct 26, 2010 |
| Last updated in NPPES | Oct 26, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 00065649 | WA |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 98 · 98 30-day fills |
|---|---|
| Patients | 86 |
| Total drug cost | $20,309 |
Other Pharmacist providers in Graham
- 1255209300
- 1942641352
- 1518234616
- 1992935605
- 1134489321
- 1073845335
- 1770911968
- 1811297617
- 1902274061