Edian Banuelos
NPI 1700402203ActiveIndividual· Pharmacist· Phoenix, AZ
Pharmacist in Phoenix, Arizona, licensed in AZ, with an NPI issued in June 2020. Part D covered 66 prescriptions written in 2024, 18% of them generic.
Overview
| NPI | 1700402203 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 19, 2020 |
| Last updated in NPPES | Dec 24, 2024 |
| Certified by provider | Dec 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | S026904 | AZ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 66 · 67 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $10,350 |
| Generic share | 18% of claims |
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