Pioneer Pharmacy, LLC
NPI 1508426081ActiveOrganization· Pharmacy· Riverton, WY
Pharmacy in Riverton, Wyoming, registered in NPPES in June 2019. The authorized official on file is Sommer Pedersen, PHARMD, Owner And Manager. Medicare paid $19,937 for services to 94 patients in 2024.
Overview
| NPI | 1508426081 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 18, 2019 |
| Last updated in NPPES | Jun 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 274 across 9 procedure codes |
| Paid by Medicare | $19,937 |
Other Pharmacy providers in Riverton
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