NPI: 1609010404 · NICHOLASVILLE, KY 40356 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/23/2009
| Authorized Official | DOWNS, GLENN (OWNER) |
| Parent Organization | NICHOLASVILLE PHARMACY SERVICES INC |
| NPI Enumeration Date | 04/23/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 17 | $15K |
| 2021 | 110 | $53K |
| 2022 | 631 | $360K |
| 2023 | 481 | $375K |
| 2024 | 179 | $125K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S9435 | Medical foods for inborn errors of metabolism | 822 | 576 | $571K |
| B4162 | Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 596 | 488 | $357K |