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Derrick Amenyedor

NPI 1487416483ActiveIndividual· Pharmacist· New Haven, CT

Pharmacist in New Haven, Connecticut, licensed in CT, with an NPI issued in January 2024.

Overview

NPI1487416483
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJan 25, 2024
Last updated in NPPESJan 25, 2024
Certified by providerJan 25, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XPCT.0015702CT

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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 New Haven

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