Dekalb Pharmacy LLC
NPI 1427052000ActiveOrganization· Pharmacy· De Kalb, TX
Pharmacy in De Kalb, Texas, registered in NPPES in June 2005. The authorized official on file is Janet J. Tidwell, R.PH., Co-Owner. Medicare paid $1,734 for services to 14 patients in 2024.
Overview
| NPI | 1427052000 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2005 |
| Last updated in NPPES | Aug 30, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 23839 | TX |
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) | Enrolled Part B Supplier - Pharmacy (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 30 across 5 procedure codes |
| Paid by Medicare | $1,734 |