Skip to content

Kyle Henderson

NPI 1952782690ActiveIndividual· Pharmacist· Champlin, MN

Pharmacist in Champlin, Minnesota, licensed in MN, with an NPI issued in June 2015. Part D covered 24 prescriptions written in 2024, 0% of them generic.

Overview

NPI1952782690
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 17, 2015
Last updated in NPPESJun 17, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X122234MN

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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)24 · 24 30-day fills
Patients21
Total drug cost$6,464
Generic share0% of claims

Medicare sources and data years

Other Pharmacist providers in Champlin

All Pharmacist providers in Minnesota →