IVY FAMILY PHARMACY, INC
NPI: 1093118945
· HEBER SPRINGS, AR 72543
· Community/Retail Pharmacy
· NPI assigned 10/07/2014
Provider Details
| Authorized Official | IVY, JAMIE (PHARMACIST) |
| NPI Enumeration Date | 10/07/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
341 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
107 |
104 |
$798.73 |
| 0011A |
|
136 |
135 |
$572.68 |
| 0013A |
|
59 |
59 |
$120.00 |
| 91301 |
|
39 |
38 |
$0.32 |