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Nicole Radev

NPI 1528785672ActiveIndividual· Pharmacist· Bridgeton, MO

Pharmacist in Bridgeton, Missouri, licensed in MO, with an NPI issued in October 2022. Part D covered 29 prescriptions written in 2024, 0% of them generic.

Overview

NPI1528785672
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedOct 19, 2022
Last updated in NPPESOct 19, 2022
Certified by providerOct 19, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X2022041309MO

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

Part D prescriptions in 2024

Prescriptions (claims)29 · 29 30-day fills
Patients27
Total drug cost$4,450
Generic share0% of claims

Medicare sources and data years

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