MEDSOURCE
NPI: 1154050557
· CLARKSVILLE, TN 37043
· Pharmacy
· NPI assigned 06/09/2022
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | EMPEY, SANDRA (OWNER AND CMO) |
| NPI Enumeration Date | 06/09/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
197 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4259 |
Lancets, per box of 100 |
89 |
84 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
108 |
88 |
$0.00 |