Manda Moore Deville, PHARM.D. R.PH
NPI 1619394590ActiveIndividual· Pharmacist· Cartersville, GA
Pharmacist (PHARM.D. R.PH) in Cartersville, Georgia, licensed in GA, MT, WY and FL, with an NPI issued in March 2014.
Overview
| NPI | 1619394590 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM.D. R.PH |
| Sole proprietor | No |
| NPI issued | Mar 28, 2014 |
| Last updated in NPPES | Mar 28, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 23687 | GA |
| Pharmacist | 183500000X | 5560 | MT |
| Pharmacist | 183500000X | 3034 | WY |
| Pharmacist | 183500000X | 38734 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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