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Gary Lee Kabetso Jr.

NPI 1801461363ActiveIndividual· Pharmacist· Boardman, OH

Pharmacist in Boardman, Ohio, licensed in OH, with an NPI issued in May 2021.

Overview

NPI1801461363
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 26, 2021
Last updated in NPPESMay 26, 2021
Certified by providerMay 26, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X03120630OH

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacist providers in Boardman

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