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Ian Thacker

NPI 1891306528ActiveIndividual· Pharmacist· Moberly, MO

Pharmacist in Moberly, Missouri, licensed in MO, with an NPI issued in August 2020.

Overview

NPI1891306528
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedAug 14, 2020
Last updated in NPPESAug 14, 2020
Certified by providerAug 14, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X2020031426MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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 pharmacists in Moberly

All 19 pharmacists in Moberly · All pharmacists in Missouri