Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PARKLAND PHARMACY DEVELOPMENT LLC

NPI: 1669814182 · IRONTON, MO 63650 · Pharmacy · NPI assigned 07/25/2013

$111.06
Total Medicaid Paid
13
Total Claims
13
Beneficiaries
1
Codes Billed
2021-10
First Month
2021-10
Last Month

Provider Details

Authorized OfficialUMFLEET, LISA (SECRETARY OF LLC, OWNER)
NPI Enumeration Date07/25/2013

Related Entities

Other providers sharing the same authorized official: UMFLEET, LISA

ProviderCityStateTotal Paid
PARKLAND PHARMACY DEVELOPMENT LLC PIEDMONT MO $6K
PARKLAND APOTHECARY LLC DESLOGE MO $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $111.06

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $111.06