FRED MEYER STORES INC
NPI: 1083659478
· BROOKINGS, OR 97415
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/18/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/18/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
20 |
$0.00 |
| 2022 |
33 |
$0.00 |
| 2023 |
64 |
$0.00 |
| 2024 |
31 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
70 |
61 |
$0.00 |
| 90480 |
|
18 |
15 |
$0.00 |
| 90662 |
|
42 |
39 |
$0.00 |
| 91322 |
|
18 |
15 |
$0.00 |