CORNERSTONE PHARMACY OTTER CREEK LLC
NPI: 1568892164
· LITTLE ROCK, AR 72210
· Pharmacy
· NPI assigned 11/18/2013
Provider Details
| Authorized Official | SHELLEY, ERIC (PIC) |
| NPI Enumeration Date | 11/18/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
20 |
$61.80 |
| 2021 |
168 |
$4K |
| 2022 |
87 |
$0.00 |
| 2023 |
17 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
50 |
25 |
$2K |
| 0001A |
|
47 |
19 |
$2K |
| 0064A |
|
13 |
12 |
$80.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
20 |
$61.80 |
| 0011A |
|
14 |
12 |
$40.00 |
| 91300 |
|
44 |
39 |
$0.39 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
104 |
104 |
$0.00 |