NPI: 1841676269 · LITTLE ROCK, AR 72211 · Community/Retail Pharmacy · NPI assigned 08/07/2015
| Authorized Official | SANDERS, BRITTANY (PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 08/07/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 3,037 | $30K |
| 2022 | 238 | $6K |
| 2023 | 39 | $492.06 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 776 | 593 | $11K | |
| 0002A | 672 | 515 | $11K | |
| 0071A | 68 | 61 | $6K | |
| 0072A | 50 | 49 | $5K | |
| 0004A | 156 | 151 | $2K | |
| 90674 | 54 | 47 | $583.88 | |
| 0003A | 17 | 16 | $440.00 | |
| G0008 | Administration of influenza virus vaccine | 111 | 96 | $386.44 |
| 90756 | 22 | 18 | $182.32 | |
| 0012A | 21 | 17 | $108.39 | |
| 0011A | 28 | 18 | $67.76 | |
| 90686 | 27 | 23 | $32.46 | |
| 91300 | 1,168 | 746 | $6.40 | |
| 91307 | 144 | 116 | $1.32 |