Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HAYDELS DRUG STORE INC

NPI: 1104930189 · HOUMA, LA 70363 · Pharmacy · NPI assigned 08/18/2006

$0.00
Total Medicaid Paid
31
Total Claims
31
Beneficiaries
2
Codes Billed
2021-02
First Month
2021-03
Last Month

Provider Details

Authorized OfficialROCK, ROBERT (OWNER)
NPI Enumeration Date08/18/2006

Related Entities

Other providers sharing the same authorized official: ROCK, ROBERT

ProviderCityStateTotal Paid
HAYDELS DRUG STORE INC HOUMA LA $0.00
CITY OF EAST PROVIDENCE EAST PROVIDENCE RI $0.00
HAYDELS DRUG STORE #3 HOUMA LA $0.00
EAST PROVIDENCE SENIOR CENTER EAST PROVIDENCE RI $0.00
EAST PROVIDENCE SENIOR CENTER EAST PROVIDENCE RI $0.00
HAYDELS DRUG STORE ST CHARLES HOUMA LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 31 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 16 16 $0.00
0012A 15 15 $0.00