SEMPERTS REXALL DRUG STORE INC
NPI: 1962579540
· MYRTLE POINT, OR 97458
· Pharmacy
· NPI assigned 11/29/2006
$996.35
Total Medicaid Paid
Provider Details
| Authorized Official | LENIHAN, LARRY (PRESIDENT) |
| NPI Enumeration Date | 11/29/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31 |
$0.00 |
| 2021 |
63 |
$417.02 |
| 2022 |
12 |
$184.35 |
| 2023 |
29 |
$394.98 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
104 |
76 |
$996.35 |
| 90662 |
|
15 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
13 |
$0.00 |