STANIFER PHARMACY LLC
NPI: 1083782221
· NEW TAZEWELL, TN 37825
· Pharmacy
· NPI assigned 12/04/2006
$207.07
Total Medicaid Paid
Provider Details
| Authorized Official | ESSARY, RUSSELL (PHARMACIST/OWNER) |
| NPI Enumeration Date | 12/04/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
97 |
$207.07 |
| 2019 |
14 |
$0.00 |
| 2023 |
12 |
$0.00 |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
92 |
92 |
$207.07 |
| 90694 |
|
12 |
12 |
$0.00 |
| 90688 |
|
17 |
17 |
$0.00 |
| 90630 |
|
14 |
14 |
$0.00 |