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NPI 1609114255ActiveIndividual· Pharmacist· Casselberry, FL

Pharmacist in Casselberry, Florida, licensed in FL, with an NPI issued in January 2013. Part D covered 77 prescriptions written in 2024, 0% of them generic.

Overview

NPI1609114255
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJan 16, 2013
Last updated in NPPESJan 16, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XPS30332FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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)77 · 79 30-day fills
Patients71
Total drug cost$17,879
Generic share0% of claims

Medicare sources and data years

Other pharmacists in Casselberry

All 29 pharmacists in Casselberry · All pharmacists in Florida