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NPI 1417363383ActiveIndividual· Pharmacist· Belcourt, ND

Pharmacist in Belcourt, North Dakota, licensed in TX, with an NPI issued in July 2014.

Overview

NPI1417363383
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJul 10, 2014
Last updated in NPPESJan 27, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X57156TX

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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

Medicare sources and data years

Other Pharmacist providers in Belcourt

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