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Blaine L. Wilding, PHARMD

NPI 1942579404ActiveIndividual· Pharmacist· Shelley, ID

Pharmacist (PHARMD) in Shelley, Idaho, licensed in ID, with an NPI issued in December 2011. Part D covered 49 prescriptions written in 2024.

Overview

NPI1942579404
StatusActive
Entity typeIndividual
CredentialPHARMD
Sole proprietorNo
NPI issuedDec 29, 2011
Last updated in NPPESDec 29, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XP4789ID

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)49 · 71 30-day fills
Patients36
Total drug cost$6,375

Medicare sources and data years

Other Pharmacist providers in Shelley

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