Mark Gruen Anderson, RPH
NPI 1629334073ActiveIndividual· Pharmacist· Plymouth, WI
Listed on the HHS-OIG exclusion list since May 2025 (1128b4). Pharmacist (RPH) in Plymouth, Wisconsin, licensed in WI, with an NPI issued in April 2012.
Overview
| NPI | 1629334073 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPH |
| Sole proprietor | Yes |
| NPI issued | Apr 10, 2012 |
| Last updated in NPPES | Apr 10, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 9189-40 | WI |
Exclusion screening
This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| NPI | Mark G. Anderson · Pharmacist | 1128b4 | May 20, 2025 | Madison, WI |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Listed (NPI) | See above |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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