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Vicklund Inc.

NPI 1649382565ActiveOrganization· Pharmacy· Thermopolis, WY

Pharmacy in Thermopolis, Wyoming, registered in NPPES in August 2006. The authorized official on file is Anthony Joseph Deromedi, President. Medicare paid $51,722 for services to 241 patients in 2024.

Overview

NPI1649382565
StatusActive
Entity typeOrganization
NPI issuedAug 31, 2006
Last updated in NPPESSep 16, 2024
Certified by providerSep 16, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000XR10114WY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (WY); Part B Supplier - Mass Immunization (Roster Biller Only) (WY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients241
Services billed708 across 8 procedure codes
Paid by Medicare$51,722

Medicare sources and data years