FRED MEYER STORES INC.
NPI: 1629013016
· KLAMATH FALLS, OR 97603
· Pharmacy
· NPI assigned 06/18/2006
$221.15
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/18/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
14 |
$0.00 |
| 2019 |
27 |
$37.86 |
| 2020 |
50 |
$84.94 |
| 2021 |
32 |
$98.35 |
| 2023 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
46 |
38 |
$221.15 |
| G0008 |
Administration of influenza virus vaccine |
88 |
78 |
$0.00 |
| 90682 |
|
17 |
13 |
$0.00 |