Breckenridge Drug PA
NPI 1679615629ActiveOrganization· Pharmacist· Breckenridge, MN
Pharmacist in Breckenridge, Minnesota, registered in NPPES in February 2007. The authorized official on file is Jodi Lynn Beyer, RPH, Pharmacist In Charge. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1679615629 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2007 |
| Last updated in NPPES | Sep 24, 2025 |
| Certified by provider | Sep 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 261997 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MN) |
|---|
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