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City Drug Store Of Jacksboro, Inc

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NPI Number Detailed Information

Provider Information:

Name: City Drug Store Of Jacksboro, Inc
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1093827909
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 8/31/2006

Last Update Date: 7/19/2018

Provider Business Mailing Address:

Address: 104 E BELKNAP ST
Jacksboro, TX 76458
Phone Number: 9405675576
Fax Number: 9405673815

Provider Business Practice Location Address:

Address: 104 E BELKNAP ST
Jacksboro, TX 76458
Phone Number: 9405675576
Fax Number: 9405673815

Provider Taxonomy:

Primary: 3336C0004X
Secondary (if any): 333600000X
State: TX

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About City Drug Store Of Jacksboro, Inc

City Drug Store Of Jacksboro, Inc ( CITY DRUG STORE OF JACKSBORO, INC ) is A Pharmacy Provider in Jacksboro, TX. The NPI Number for City Drug Store Of Jacksboro, Inc is 1093827909.
The current location address for City Drug Store Of Jacksboro, Inc is 104 E BELKNAP ST Jacksboro, TX 76458 and the contact number is 9405675576 and fax number is 9405673815. The mailing address for City Drug Store Of Jacksboro, Inc is 104 E BELKNAP ST Jacksboro, TX 76458- 9405675576 (mailing address contact number - 9405675576).
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Provider Business Location on Map

FAQs:

What is the NPI Number for City Drug Store Of Jacksboro, Inc ?


Answer: The NPI Number for City Drug Store Of Jacksboro, Inc is 1093827909

Where is City Drug Store Of Jacksboro, Inc located?


Answer: City Drug Store Of Jacksboro, Inc is located at 104 E BELKNAP ST Jacksboro, TX 76458.

What is the specialty for City Drug Store Of Jacksboro, Inc ?


Answer: The Specialty of City Drug Store Of Jacksboro, Inc is A Pharmacy Provider.

Are there any online reviews for City Drug Store Of Jacksboro, Inc ?


Answer: Not yet!

Are there any other health care providers in Jacksboro, TX?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by City Drug Store Of Jacksboro, Inc

Number of HCPCS 12
Number of Medicare Beneficiaries 510
Number of Services 1037
Total Submitted Charge Amount 55983
Total Medicare Allowed Amount 32236.59
Total Medicare Payment Amount 32236.59
Total Medicare Standardized Payment Amount 32521.6
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 86
Number of Drug Services 87
Total Drug Submitted Charge Amount 6883
Total Drug Medicare Allowed Amount 6808.31
Total Drug Medicare Payment Amount 6808.31
Total Drug Medicare Standardized Payment Amount 6671.93
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 8
Number of Medicare Beneficiaries With Medical 510
Number of Medical Services 950
Total Medical Submitted Charge Amount 49100
Total Medical Medicare Allowed Amount 25428.28
Total Medical Medicare Payment Amount 25428.28
Total Medical Medicare Standardized Payment Amount 25849.67
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 33
Number of Beneficiaries Age 65 to 74 227
Number of Beneficiaries Age 75 to 84 188
Number of Beneficiaries Age Greater 84 62
Number of Female Beneficiaries 273
Number of Male Beneficiaries 237
Number of Non-Hispanic White Beneficiaries 486
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 12
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 51
Number of Beneficiaries With Medicare Only Entitlement 459
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.04
Percent (%) of Beneficiaries Identified With Cancer 0.06
Percent (%) of Beneficiaries Identified With Heart Failure 0.12
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.19
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.08
Percent (%) of Beneficiaries Identified With Depression 0.13
Percent (%) of Beneficiaries Identified With Diabetes 0.21
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.37
Percent (%) of Beneficiaries Identified With Hypertension 0.5
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.22
Percent (%) of Beneficiaries Identified With Osteoporosis 0.05
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.29
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.03
Average HCC Risk Score of Beneficiaries 0.977

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City Drug Store Of Jacksboro, Inc
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