Cloverdale Drugs, Inc
NPI 1780788927ActiveOrganization· Pharmacy· Cloverdale, IN
Pharmacy in Cloverdale, Indiana, registered in NPPES in September 2006. The authorized official on file is Kennedy Ryan, Owner. Medicare paid $5,115 for services to 48 patients in 2024.
Overview
| NPI | 1780788927 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2006 |
| Last updated in NPPES | Mar 24, 2022 |
| Certified by provider | Mar 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (IN); Part B Supplier - Mass Immunization (Roster Biller Only) (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 96 across 5 procedure codes |
| Paid by Medicare | $5,115 |