AMERICAN DRUG STORES LLC

Community/Retail Pharmacy · BOISE, ID

Organization Active NPI 1669566626

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202499,816357,552$36,356,933$28,814,058$28,814,058
2023126,919689,692$34,888,896$27,346,886$27,346,886
2022170,083960,966$33,822,921$23,260,762$23,260,762

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90480Admn sarscov2 vacc 1 dose91,324$43$43
G0008Administration of influenza virus vaccine81,658$33$33
90662Influenza vaccine split virus, preservative free71,975$82$82
91320Sarscv2 vac 30mcg trs-suc im60,179$147$147
91322Sarscov2 vac 50 mcg/0.5ml im31,449$154$154
90673Influenza vaccine, trivalent derived from recombinant dna8,415$82$82
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use5,626$290$290
G0009Administration of pneumococcal vaccine5,611$33$33
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage946$22$22
90656Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage253$22$22
90682Influenza vaccine, quadrivalent derived from recombinant dna72$72$72
91304Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use19$154$154

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Community/Retail Pharmacy3336C0003X
Durable Medical Equipment & Medical Supplies332B00000X
Pharmacy333600000X

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