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Sullivan S Drug Llc

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NPI Number Detailed Information

Provider Information:

Name: Sullivan S Drug Llc
Gender:
Provider License Number If Given: 13309

NPI Information:

NPI: 1093726580
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 8/10/2006

Last Update Date: 7/27/2020

Provider Business Mailing Address:

Address: 1140 GRAND AVE
Bacliff, TX 77518
Phone Number: 2813394577
Fax Number: 2815594339

Provider Business Practice Location Address:

Address: 1140 GRAND AVE
Bacliff, TX 77518
Phone Number: 2813394577
Fax Number: 2815594339

Provider Taxonomy:

Primary: 3336C0003X
Secondary (if any): 3336C0003X
State: TX

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About Sullivan S Drug Llc

Sullivan S Drug Llc ( SULLIVAN S DRUG LLC ) is A Pharmacy Provider in Bacliff, TX. The NPI Number for Sullivan S Drug Llc is 1093726580.
The current location address for Sullivan S Drug Llc is 1140 GRAND AVE Bacliff, TX 77518 and the contact number is 2813394577 and fax number is 2815594339. The mailing address for Sullivan S Drug Llc is 1140 GRAND AVE Bacliff, TX 77518- 2813394577 (mailing address contact number - 2813394577).
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Provider Business Location on Map

FAQs:

What is the NPI Number for Sullivan S Drug Llc ?


Answer: The NPI Number for Sullivan S Drug Llc is 1093726580

Where is Sullivan S Drug Llc located?


Answer: Sullivan S Drug Llc is located at 1140 GRAND AVE Bacliff, TX 77518.

What is the specialty for Sullivan S Drug Llc ?


Answer: The Specialty of Sullivan S Drug Llc is A Pharmacy Provider.

Are there any online reviews for Sullivan S Drug Llc ?


Answer: Not yet!

Are there any other health care providers in Bacliff, 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 Sullivan S Drug Llc

Number of HCPCS 15
Number of Medicare Beneficiaries 625
Number of Services 1437
Total Submitted Charge Amount 57160.68
Total Medicare Allowed Amount 48925.3
Total Medicare Payment Amount 48925.3
Total Medicare Standardized Payment Amount 47848.52
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 5
Number of Medicare Beneficiaries With Drug Services 110
Number of Drug Services 119
Total Drug Submitted Charge Amount 15367.06
Total Drug Medicare Allowed Amount 8559.47
Total Drug Medicare Payment Amount 8559.47
Total Drug Medicare Standardized Payment Amount 8387.8
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 10
Number of Medicare Beneficiaries With Medical 625
Number of Medical Services 1318
Total Medical Submitted Charge Amount 41793.62
Total Medical Medicare Allowed Amount 40365.83
Total Medical Medicare Payment Amount 40365.83
Total Medical Medicare Standardized Payment Amount 39460.72
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65 61
Number of Beneficiaries Age 65 to 74 337
Number of Beneficiaries Age 75 to 84 174
Number of Beneficiaries Age Greater 84 53
Number of Female Beneficiaries 334
Number of Male Beneficiaries 291
Number of Non-Hispanic White Beneficiaries 551
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 13
Number of Hispanic Beneficiaries 40
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 105
Number of Beneficiaries With Medicare Only Entitlement 520
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.05
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.04
Percent (%) of Beneficiaries Identified With Asthma 0.04
Percent (%) of Beneficiaries Identified With Cancer 0.04
Percent (%) of Beneficiaries Identified With Heart Failure 0.08
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.13
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.05
Percent (%) of Beneficiaries Identified With Depression 0.08
Percent (%) of Beneficiaries Identified With Diabetes 0.12
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.24
Percent (%) of Beneficiaries Identified With Hypertension 0.3
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.16
Percent (%) of Beneficiaries Identified With Osteoporosis 0.03
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.17
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.02
Average HCC Risk Score of Beneficiaries 1.1394

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Sullivan S Drug Llc
Community/Retail Pharmacy
NPI Number: 1093726580
Address: 1140 GRAND AVE Bacliff, TX 77518 , Phone: 2813394577
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Sullivan S Drug Llc
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Dr. Justin C Baker
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Mr. William Allen Miller
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Address: 1136 GRAND AVE Bacliff, TX 77518 , Phone: 2818241480
Lauren Mcelyea
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Address: 4727 17TH ST Bacliff, TX 77518 , Phone: 8322261274
Rebecca Scoggins
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Address: 1122 CHASE PARK DR Bacliff, TX 77518 , Phone: 4096566685
Austin Michael Steil
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Sandra Evans Webb
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Address: 1140 GRAND AVE Bacliff, TX 77518 , Phone: 2813394577
Leslie Williams
Pharmacist
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Address: 1140 GRAND AVE Bacliff, TX 77518 , Phone: 2813394577
Sarah Walsh
Behavioral Analyst
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Address: 4910 CHASE WICK DR Bacliff, TX 77518 , Phone: 8062831663
Kara Brumenschenkel
Registered Nurse
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Address: 4625 6TH ST Bacliff, TX 77518 , Phone: 7138052938
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Family Nurse Practitioner
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