Skip to content

Gary L. Rae, RPH

NPI 1447840830ActiveIndividual· Pharmacist· Bolivar, MO

Pharmacist (RPH) in Bolivar, Missouri, licensed in MO, with an NPI issued in January 2021. Part D covered 48 prescriptions written in 2024, 0% of them generic.

Overview

NPI1447840830
StatusActive
Entity typeIndividual
CredentialRPH
Sole proprietorNo
NPI issuedJan 20, 2021
Last updated in NPPESJan 20, 2021
Certified by providerJan 20, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X2007008323MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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

Part D prescriptions in 2024

Prescriptions (claims)48 · 48 30-day fills
Patients44
Total drug cost$7,361
Generic share0% of claims

Medicare sources and data years

Other Pharmacist providers in Bolivar

All Pharmacist providers in Missouri →