TRICARE PHARMACY LLC
Community/Retail Pharmacy · GALLATIN, TN
Organization Active NPI 1003166943
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 30 | 106 | $11,158 | $9,671 | $9,671 |
| 2023 | 154 | 1,938 | $36,569 | $31,266 | $31,266 |
| 2022 | 155 | 490 | $17,198 | $15,209 | $15,209 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 29 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 29 | $155 | $155 |
| G0008 | Administration of influenza virus vaccine | 17 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 13 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0000005044 | TN |
| Pharmacy | 333600000X | — | — | |
| Compounding Pharmacy | 3336C0004X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1538726211
- NPI 1871986802
- NPI 1003145541
- NPI 1073547709
- NPI 1619463148
- NPI 1821038787
- NPI 1588337752
- NPI 1275271991
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.