Skip to content

Takoda Averett

NPI 1902522600ActiveIndividual· Pharmacist· Pocatello, ID

Pharmacist in Pocatello, Idaho, licensed in ID, with an NPI issued in October 2022. Part D covered 25 prescriptions written in 2024.

Overview

NPI1902522600
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedOct 13, 2022
Last updated in NPPESOct 13, 2022
Certified by providerOct 13, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XP10076ID

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)25 · 25 30-day fills
Patients21
Total drug cost$3,572

Medicare sources and data years

Other Pharmacist providers in Pocatello

All Pharmacist providers in Idaho →