JAMES DRUG STORE LLC
NPI: 1902969520
· DENHAM SPRINGS, LA 70726
· Community/Retail Pharmacy
· NPI assigned 12/18/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BRIAN, PATRICK (PIC AND VP) |
| NPI Enumeration Date | 12/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
203 |
$0.00 |
| 2023 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
106 |
105 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
12 |
12 |
$0.00 |
| 0012A |
|
78 |
78 |
$0.00 |
| 0064A |
|
19 |
19 |
$0.00 |