NICHOLAS L SMITH PHARMACY LLC
NPI: 1851724637
· LITTLE CHUTE, WI 54140
· Long Term Care Pharmacy
· NPI assigned 08/15/2013
Provider Details
| Authorized Official | SMITH, NICHOLAS (OWNER / PHARMACIST) |
| NPI Enumeration Date | 08/15/2013 |
Related Entities
Other providers sharing the same authorized official: SMITH, NICHOLAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
14 |
$355.20 |
| 2020 |
12 |
$216.30 |
| 2021 |
329 |
$5K |
| 2022 |
172 |
$3K |
| 2023 |
63 |
$2K |
| 2024 |
1,089 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9150 |
Non-prescription drugs |
1,089 |
254 |
$33K |
| 90686 |
|
176 |
169 |
$4K |
| 0003A |
|
77 |
77 |
$3K |
| 0124A |
|
39 |
39 |
$1K |
| 0001A |
|
42 |
35 |
$884.82 |
| 90678 |
|
21 |
12 |
$620.00 |
| 0002A |
|
15 |
15 |
$534.24 |
| 91300 |
|
181 |
166 |
$0.00 |
| 91312 |
|
39 |
39 |
$0.00 |