Avera St Lukes
NPI 1801534045ActiveOrganization· Pharmacy· Aberdeen, SD
Pharmacy in Aberdeen, South Dakota, registered in NPPES in May 2022. The authorized official on file is Tess Moeller, Vp. Medicare paid $25,114 for services to 144 patients in 2024.
Overview
| NPI | 1801534045 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2022 |
| Last updated in NPPES | May 26, 2022 |
| Certified by provider | May 11, 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 (SD); Part B Supplier - Mass Immunization (Roster Biller Only) (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 144 |
|---|---|
| Services billed | 410 across 6 procedure codes |
| Paid by Medicare | $25,114 |
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