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Mary Boules

NPI 1669988457ActiveIndividual· Pharmacist· Palmdale, CA

Pharmacist in Palmdale, California, licensed in CA, with an NPI issued in December 2017. Part D covered 46 prescriptions written in 2024, 0% of them generic.

Overview

NPI1669988457
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedDec 16, 2017
Last updated in NPPESDec 16, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X76501CA

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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)46 · 46 30-day fills
Patients44
Total drug cost$10,254
Generic share0% of claims

Medicare sources and data years

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