NPI: 1407881360 · FORT SMITH, AR 72901 · Pharmacist · NPI assigned 07/11/2006
| Authorized Official | GIBBONS, KANDICE (OWNER PHARMACIST) |
| NPI Enumeration Date | 07/11/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 90 | $0.00 |
| 2019 | 77 | $0.00 |
| 2020 | 12 | $0.00 |
| 2021 | 1,625 | $33K |
| 2022 | 444 | $13K |
| 2023 | 104 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 645 | 548 | $16K | |
| 0002A | 555 | 481 | $15K | |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 190 | 139 | $8K |
| 0003A | 239 | 216 | $3K | |
| 0071A | 20 | 20 | $2K | |
| 90686 | 192 | 188 | $1K | |
| 0031A | 61 | 60 | $1K | |
| G0008 | Administration of influenza virus vaccine | 282 | 268 | $1K |
| 0124A | 14 | 14 | $520.00 | |
| 0013A | 27 | 27 | $120.00 | |
| 0094A | 13 | 12 | $40.00 | |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 80 | 77 | $0.00 |
| 90674 | 34 | 34 | $0.00 |