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Pratana Charoenphol

NPI 1891022380ActiveIndividual· Pharmacist· Lake Havasu City, AZ

Pharmacist in Lake Havasu City, Arizona, licensed in AZ, with an NPI issued in November 2009. Part D covered 89 prescriptions written in 2024.

Overview

NPI1891022380
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedNov 4, 2009
Last updated in NPPESNov 4, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XS016570AZ

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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

Part D prescriptions in 2024

Prescriptions (claims)89 · 91 30-day fills
Patients75
Total drug cost$16,004

Medicare sources and data years

Other Pharmacist providers in Lake Havasu City

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