South Street Pharmacy, LLC
NPI 1639482532ActiveOrganization· Pharmacy· Wheatland, WY
Pharmacy in Wheatland, Wyoming, registered in NPPES in July 2010. The authorized official on file is Corinda L. Geile, RPH, President/Owner. Medicare paid $17,506 for services to 104 patients in 2024.
Overview
| NPI | 1639482532 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2010 |
| Last updated in NPPES | Aug 21, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | R10063 | WY |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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) | Enrolled Part B Supplier - Pharmacy (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 104 |
|---|---|
| Services billed | 222 across 7 procedure codes |
| Paid by Medicare | $17,506 |
Other Pharmacy providers in Wheatland
- 1356809032