Pontchartrain Pharmacy, Llc

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NPI Number Detailed Information

Provider Information:

Name:	Pontchartrain Pharmacy, Llc
Gender:
Provider License Number If Given:	1270-IR

NPI Information:

NPI:	1134116742
Entity Type (Individual or Organization):	2-org
Enumeration Date:	9/29/2005
Last Update Date:	3/16/2021

Provider Business Mailing Address:

Address:	PO BOX 399 Mandeville, LA 70470
Phone Number:	9856269726
Fax Number:	9856267919

Provider Business Practice Location Address:

Address:	2045 HIGHWAY 59 Mandeville, LA 70448
Phone Number:	9856269726
Fax Number:	9856267919

Provider Taxonomy:

Primary:	3336L0003X
Secondary (if any):
State:	LA

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About Pontchartrain Pharmacy, Llc

Pontchartrain Pharmacy, Llc ( PONTCHARTRAIN PHARMACY, LLC ) is A Pharmacy Provider in Mandeville, LA. The NPI Number for Pontchartrain Pharmacy, Llc is 1134116742.

The current location address for Pontchartrain Pharmacy, Llc is 2045 HIGHWAY 59 Mandeville, LA 70448 and the contact number is 9856269726 and fax number is 9856267919. The mailing address for Pontchartrain Pharmacy, Llc is PO BOX 399 Mandeville, LA 70470- 9856269726 (mailing address contact number - 9856269726).

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 Pontchartrain Pharmacy, Llc ?

Answer: The NPI Number for Pontchartrain Pharmacy, Llc is 1134116742

Where is Pontchartrain Pharmacy, Llc located?

Answer: Pontchartrain Pharmacy, Llc is located at 2045 HIGHWAY 59 Mandeville, LA 70448.

What is the specialty for Pontchartrain Pharmacy, Llc ?

Answer: The Specialty of Pontchartrain Pharmacy, Llc is A Pharmacy Provider.

Are there any online reviews for Pontchartrain Pharmacy, Llc ?

Answer: Not yet!

Are there any other health care providers in Mandeville, LA?

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 Pontchartrain Pharmacy, Llc

Number of HCPCS	6
Number of Medicare Beneficiaries	402
Number of Services	488
Total Submitted Charge Amount	65120
Total Medicare Allowed Amount	23539.24
Total Medicare Payment Amount	23539.24
Total Medicare Standardized Payment Amount	25137.52
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	6
Number of Medicare Beneficiaries With Medical	402
Number of Medical Services	488
Total Medical Submitted Charge Amount	65120
Total Medical Medicare Allowed Amount	23539.24
Total Medical Medicare Payment Amount	23539.24
Total Medical Medicare Standardized Payment Amount	25137.52
Average Age of Beneficiaries	76
Number of Beneficiaries Age Less 65	50
Number of Beneficiaries Age 65 to 74	123
Number of Beneficiaries Age 75 to 84	127
Number of Beneficiaries Age Greater 84	102
Number of Female Beneficiaries	243
Number of Male Beneficiaries	159
Number of Non-Hispanic White Beneficiaries	270
Number of Black or African American Beneficiaries	110
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	349
Number of Beneficiaries With Medicare Only Entitlement	53
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.11
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.47
Percent (%) of Beneficiaries Identified With Asthma	0.03
Percent (%) of Beneficiaries Identified With Cancer	0.05
Percent (%) of Beneficiaries Identified With Heart Failure	0.35
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.38
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.16
Percent (%) of Beneficiaries Identified With Depression	0.36
Percent (%) of Beneficiaries Identified With Diabetes	0.38
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.4
Percent (%) of Beneficiaries Identified With Hypertension	0.61
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.35
Percent (%) of Beneficiaries Identified With Osteoporosis	0.05
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.21
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.11
Percent (%) of Beneficiaries Identified With Stroke	0.12
Average HCC Risk Score of Beneficiaries	2.5565

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