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Stefffen Scott Detherage

NPI 1972191583ActiveIndividual· Pharmacist· Chandler, AZ

Pharmacist in Chandler, Arizona, licensed in AZ, with an NPI issued in January 2021. Part D covered 37 prescriptions written in 2024, 0% of them generic.

Overview

NPI1972191583
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJan 8, 2021
Last updated in NPPESAug 14, 2023
Certified by providerAug 14, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XS026610AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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)37 · 37 30-day fills
Patients28
Total drug cost$7,779
Generic share0% of claims

Medicare sources and data years

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