NPI: 1508998840 · CRAMERTON, NC 28032 · Long Term Care Pharmacy · NPI assigned 03/12/2007
| Authorized Official | ETHRIDGE, JENNIFER (PRESIDENT) |
| NPI Enumeration Date | 03/12/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 105 | $1K |
| 2019 | 178 | $2K |
| 2020 | 64 | $837.28 |
| 2021 | 310 | $5K |
| 2022 | 538 | $10K |
| 2023 | 409 | $16K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 91322 | 68 | 64 | $8K | |
| 90686 | 450 | 400 | $8K | |
| 0134A | 121 | 118 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 595 | 538 | $7K |
| 0064A | 94 | 82 | $4K | |
| 90688 | 88 | 86 | $1K | |
| 90756 | 53 | 46 | $813.75 | |
| 91306 | 76 | 67 | $0.00 | |
| 91313 | 59 | 55 | $0.00 |