HEALTH DEPOT PHARMACIES, LLC
NPI: 1952317687
· FORT SMITH, AR 72908
· Durable Medical Equipment & Medical Supplies
· NPI assigned 08/01/2006
Provider Details
| Authorized Official | HALL, JOHN (OWNER) |
| NPI Enumeration Date | 08/01/2006 |
Related Entities
Other providers sharing the same authorized official: HALL, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
404 |
$3K |
| 2022 |
201 |
$360.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
119 |
110 |
$2K |
| 0002A |
|
82 |
75 |
$1K |
| 0054A |
|
28 |
26 |
$360.00 |
| 91300 |
|
166 |
132 |
$0.13 |
| G0008 |
Administration of influenza virus vaccine |
44 |
43 |
$0.00 |
| 90674 |
|
30 |
30 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$0.00 |
| 91305 |
|
38 |
27 |
$0.00 |
| 90662 |
|
15 |
15 |
$0.00 |
| 0124A |
|
45 |
42 |
$0.00 |
| 91312 |
|
22 |
22 |
$0.00 |