Molter Family Pharmacy LLC
NPI 1487328548ActiveOrganization· Pharmacy· Tomah, WI
Pharmacy in Tomah, Wisconsin, registered in NPPES in August 2021. The authorized official on file is Mark Ray Molter, Owner/Managing Member. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1487328548 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2021 |
| Last updated in NPPES | Oct 14, 2021 |
| Certified by provider | Oct 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
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 - Mass Immunization (Roster Biller Only) (WI) |
|---|
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