VILLAGE PHARMACY LLC
NPI: 1932144912
· FAYETTEVILLE, NC 28306
· Pharmacy
· NPI assigned 06/16/2006
$861.56
Total Medicaid Paid
Provider Details
| Authorized Official | STORMS, TERRI (OWNER) |
| NPI Enumeration Date | 06/16/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18 |
$21.64 |
| 2019 |
15 |
$34.95 |
| 2020 |
18 |
$24.97 |
| 2021 |
85 |
$780.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
14 |
13 |
$780.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
51 |
36 |
$81.56 |
| 91301 |
|
71 |
45 |
$0.00 |