NPI: 1326015371 · MELBOURNE, AR 72556 · Pharmacy · NPI assigned 03/08/2006
| Authorized Official | EVERETT, ABBY (OWNER) |
| NPI Enumeration Date | 03/08/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 44 | $61.80 |
| 2021 | 549 | $9K |
| 2022 | 44 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 51 | 49 | $4K | |
| 0001A | 53 | 51 | $3K | |
| 0012A | 111 | 111 | $988.39 | |
| 0011A | 106 | 106 | $793.88 | |
| 0064A | 69 | 69 | $240.00 | |
| G0008 | Administration of influenza virus vaccine | 14 | 12 | $61.80 |
| 91300 | 109 | 91 | $1.00 | |
| 91301 | 60 | 55 | $0.50 | |
| 91307 | 14 | 13 | $0.11 | |
| 0134A | 20 | 20 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 16 | 16 | $0.00 |
| 90670 | 14 | 14 | $0.00 |