Alexis Nicole Nyberg, PHARMD
NPI 1588397574ActiveIndividual· Pharmacist· Grand Rapids, MN
Pharmacist (PHARMD) in Grand Rapids, Minnesota, licensed in MN and SD, with an NPI issued in July 2022. Part D covered 70 prescriptions written in 2024.
Overview
| NPI | 1588397574 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | No |
| NPI issued | Jul 6, 2022 |
| Last updated in NPPES | Jul 28, 2022 |
| Certified by provider | Jul 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 124773 | MN |
| Pharmacist | 183500000X | 6759 | SD |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 70 · 72 30-day fills |
|---|---|
| Patients | 58 |
| Total drug cost | $16,874 |
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