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Forman Drug Inc

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NPI Number Detailed Information

Provider Information:

Name: Forman Drug Inc
Gender:
Provider License Number If Given:

NPI Information:

NPI: 1417945080
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 10/7/2005

Last Update Date: 4/25/2017

Provider Business Mailing Address:

Address: PO BOX 35
Forman, ND 58032
Phone Number: 7017246222
Fax Number: 7017243842

Provider Business Practice Location Address:

Address: 330 MAIN ST S
Forman, ND 58032
Phone Number: 7017246222
Fax Number: 7017243842

Provider Taxonomy:

Primary: 3336L0003X
Secondary (if any): 332B00000X
State: ND

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About Forman Drug Inc

Forman Drug Inc ( FORMAN DRUG INC ) is A Pharmacy Provider in Forman, ND. The NPI Number for Forman Drug Inc is 1417945080.
The current location address for Forman Drug Inc is 330 MAIN ST S Forman, ND 58032 and the contact number is 7017246222 and fax number is 7017243842. The mailing address for Forman Drug Inc is PO BOX 35 Forman, ND 58032- 7017246222 (mailing address contact number - 7017246222).
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Provider Business Location on Map

FAQs:

What is the NPI Number for Forman Drug Inc ?


Answer: The NPI Number for Forman Drug Inc is 1417945080

Where is Forman Drug Inc located?


Answer: Forman Drug Inc is located at 330 MAIN ST S Forman, ND 58032.

What is the specialty for Forman Drug Inc ?


Answer: The Specialty of Forman Drug Inc is A Pharmacy Provider.

Are there any online reviews for Forman Drug Inc ?


Answer: Not yet!

Are there any other health care providers in Forman, ND?


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 Forman Drug Inc

Number of HCPCS 11
Number of Medicare Beneficiaries 291
Number of Services 717
Total Submitted Charge Amount 31286.52
Total Medicare Allowed Amount 22864.29
Total Medicare Payment Amount 22864.29
Total Medicare Standardized Payment Amount 22582.8
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 68
Number of Drug Services 69
Total Drug Submitted Charge Amount 7625.73
Total Drug Medicare Allowed Amount 4620.51
Total Drug Medicare Payment Amount 4620.51
Total Drug Medicare Standardized Payment Amount 4527.8
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 7
Number of Medicare Beneficiaries With Medical 291
Number of Medical Services 648
Total Medical Submitted Charge Amount 23660.79
Total Medical Medicare Allowed Amount 18243.78
Total Medical Medicare Payment Amount 18243.78
Total Medical Medicare Standardized Payment Amount 18055
Average Age of Beneficiaries 74
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 158
Number of Beneficiaries Age 75 to 84 88
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 148
Number of Male Beneficiaries 143
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 37
Number of Beneficiaries With Medicare Only Entitlement 254
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.07
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.13
Percent (%) of Beneficiaries Identified With Asthma 0.05
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.19
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.24
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.13
Percent (%) of Beneficiaries Identified With Depression 0.27
Percent (%) of Beneficiaries Identified With Diabetes 0.27
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.44
Percent (%) of Beneficiaries Identified With Hypertension 0.54
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.31
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.36
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.9981

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Sargent County Social Services
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Kari Gilje
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Kelsy Martinson
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Mr. Nathan Wilbur Schlecht
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Forman Drug Inc
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NPI Number: 1417945080
Address: 330 MAIN ST S Forman, ND 58032 , Phone: 7017246222
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Forman Drug Inc in Other Directories

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