SYNCHRONY NORTH CAROLINA RX, LLC
NPI: 1255030110
· CHARLOTTE, NC 28216
· Pharmacy
· NPI assigned 03/01/2023
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, DAVID (PRESIDENT) |
| NPI Enumeration Date | 03/01/2023 |
Related Entities
Other providers sharing the same authorized official: DAVIS, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
134 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
69 |
69 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
65 |
56 |
$0.00 |