PONTCHARTRAIN PHARMACY, LLC

Long Term Care Pharmacy · MANDEVILLE, LA

Organization Active NPI 1134116742

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024116140$22,400$21,510$21,510
202396110$7,880$7,278$7,278
2022261349$14,680$13,371$13,371

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
91322Sarscov2 vac 50 mcg/0.5ml im140$154$154

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Long Term Care Pharmacy3336L0003X1270-IRLA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.