DOCTORS PARK PHARMACY INC
NPI: 1205901881
· JACKSONVILLE, NC 28546
· Pharmacy
· NPI assigned 11/21/2006
$756.52
Total Medicaid Paid
Provider Details
| Authorized Official | SULLIVAN, KIMBERLY (PHARMACIST AND MNGR) |
| NPI Enumeration Date | 11/21/2006 |
Related Entities
Other providers sharing the same authorized official: SULLIVAN, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
24 |
$41.52 |
| 2021 |
29 |
$715.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0031A |
|
14 |
12 |
$715.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
12 |
12 |
$21.96 |
| A7010 |
Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
12 |
12 |
$19.56 |
| 91303 |
|
15 |
13 |
$0.00 |