Mequon Family Pharmacy Inc
NPI 1538609292ActiveOrganization· Pharmacy· Mequon, WI
Pharmacy in Mequon, Wisconsin, registered in NPPES in February 2017. The authorized official on file is Laura Mugurdumova, Ceo. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1538609292 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2017 |
| Last updated in NPPES | Apr 11, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
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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