MOUNTAINSIDE PHARMACY INC
Community/Retail Pharmacy · STOWE, VT
Organization Active NPI 1346952678
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 122 | 378 | $49,359 | $30,278 | $30,278 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 105 | $42 | $42 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 105 | $157 | $157 |
| G0008 | Administration of influenza virus vaccine | 84 | $31 | $31 |
| 90653 | Influenza vaccine, inactivated | 83 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
Other Community/Retail Pharmacy providers in Vermont
- NPI 1063157071
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- NPI 1659190924
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.