Rodeo Pharmacy Inc
NPI 1821089186ActiveOrganization· Pharmacy· Palisades Park, NJ
Pharmacy in Palisades Park, New Jersey, registered in NPPES in November 2005. The authorized official on file is Byungduck Lee, Pharmacist. Medicare paid $6,944 for services to 33 patients in 2024.
Overview
| NPI | 1821089186 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2005 |
| Last updated in NPPES | Jul 28, 2025 |
| Certified by provider | Jul 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 28RS00545100 | NJ |
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) | Enrolled DME Supplier - Pharmacy (NJ); Part B Supplier - Mass Immunization (Roster Biller Only) (NJ); Part B Supplier - Pharmacy (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 96 across 6 procedure codes |
| Paid by Medicare | $6,944 |
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