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Alex Yang Petterson

NPI 1558847400ActiveIndividual· Pharmacist· West Fargo, ND

Pharmacist in West Fargo, North Dakota, licensed in ND, with an NPI issued in July 2018. Part D covered 68 prescriptions written in 2024, 0% of them generic.

Overview

NPI1558847400
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJul 13, 2018
Last updated in NPPESJul 13, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XRPH6067ND

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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)68 · 68 30-day fills
Patients66
Total drug cost$15,482
Generic share0% of claims

Medicare sources and data years

Other Pharmacist providers in West Fargo

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