NPI: 1790705275 · VANCOUVER, WA 98686 · Community/Retail Pharmacy · NPI assigned 07/20/2006
Authorized official JENSEN, SARAH controls 20+ related entities in our dataset. Read more
| Authorized Official | JENSEN, SARAH (VP FINANCE) |
| Parent Organization | LEGACY SALMON CREEK HOSPITAL |
| NPI Enumeration Date | 07/20/2006 |
Other providers sharing the same authorized official: JENSEN, SARAH
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 237 | $173.69 |
| 2023 | 1,343 | $805.28 |
| 2024 | 987 | $421.87 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 505 | 366 | $913.06 |
| J7517 | Mycophenolate mofetil, oral, 250 mg | 183 | 146 | $337.65 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 412 | 366 | $57.03 |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 951 | 469 | $51.48 |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 504 | 444 | $37.12 |
| J7518 | Mycophenolic acid, oral, 180 mg | 12 | 12 | $4.50 |