Jared K. Lyon, PHARMD., RPH
NPI 1912304049ActiveIndividual· Pharmacist· Ammon, ID
Pharmacist (PHARMD., RPH) in Ammon, Idaho, licensed in ID, WA and UT, with an NPI issued in December 2014. Part D covered 33 prescriptions written in 2024.
Overview
| NPI | 1912304049 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD., RPH |
| Sole proprietor | No |
| NPI issued | Dec 4, 2014 |
| Last updated in NPPES | Jan 27, 2023 |
| Certified by provider | Jan 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | P7115 | ID |
| Pharmacist | 183500000X | 60514388 | WA |
| Pharmacist | 183500000X | 9321235 | UT |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 33 · 35 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $6,073 |
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