AMERICAN HOME PHARMACY LLC
NPI: 1619246493
· CLINTON, AR 72031
· Pharmacy
· NPI assigned 12/22/2011
Provider Details
| Authorized Official | RIDDLE, JEREMY (PRESIDENT) |
| NPI Enumeration Date | 12/22/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
254 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
94 |
94 |
$650.82 |
| 0012A |
|
77 |
77 |
$440.00 |
| 0064A |
|
32 |
32 |
$240.00 |
| 0031A |
|
14 |
14 |
$120.00 |
| 91301 |
|
37 |
32 |
$0.00 |