NPI 1902829492
NPI 1902829492DeactivatedUnknown
This NPI was deactivated on Jun 19, 2025. Claims billed under a deactivated NPI are rejected.
This NPI was deactivated in June 2025. Provider. Part D covered 310 prescriptions written in 2024, 88% of them generic.
Overview
| NPI | 1902829492 |
|---|---|
| Status | Deactivated Jun 19, 2025 |
| Entity type | Unknown |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No 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) | 310 · 347 30-day fills |
|---|---|
| Total drug cost | $23,552 |
| Generic share | 88% of claims |