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Iva Drug Store, Inc.

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NPI Number Detailed Information

Provider Information:

Name: Iva Drug Store, Inc.
Gender:
Provider License Number If Given: 50008094

NPI Information:

NPI: 1770588097
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 6/14/2005

Last Update Date: 5/13/2008

Provider Business Mailing Address:

Address: 720 EAST FRONT STREET P.O. BOX 26
Iva, SC 29655
Phone Number: 8643486138
Fax Number: 8643482220

Provider Business Practice Location Address:

Address: 720 E FRONT ST
Iva, SC 29655
Phone Number: 8643486138
Fax Number: 8643482220

Provider Taxonomy:

Primary: 332B00000X
Secondary (if any): 3336C0003X
State: SC

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About Iva Drug Store, Inc.

Iva Drug Store, Inc. ( IVA DRUG STORE, INC. ) is A Durable Medical Equipment & Medical Supplies Provider in Iva, SC. The NPI Number for Iva Drug Store, Inc. is 1770588097.
The current location address for Iva Drug Store, Inc. is 720 E FRONT ST Iva, SC 29655 and the contact number is 8643486138 and fax number is 8643482220. The mailing address for Iva Drug Store, Inc. is 720 EAST FRONT STREET P.O. BOX 26 Iva, SC 29655- 8643486138 (mailing address contact number - 8643486138).
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Provider Business Location on Map

FAQs:

What is the NPI Number for Iva Drug Store, Inc. ?


Answer: The NPI Number for Iva Drug Store, Inc. is 1770588097

Where is Iva Drug Store, Inc. located?


Answer: Iva Drug Store, Inc. is located at 720 E FRONT ST Iva, SC 29655.

What is the specialty for Iva Drug Store, Inc. ?


Answer: The Specialty of Iva Drug Store, Inc. is A Durable Medical Equipment & Medical Supplies Provider.

Are there any online reviews for Iva Drug Store, Inc. ?


Answer: Not yet!

Are there any other health care providers in Iva, SC?


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 Iva Drug Store, Inc.

Number of HCPCS 19
Number of Medicare Beneficiaries 712
Number of Services 997
Total Submitted Charge Amount 83324.37
Total Medicare Allowed Amount 58384.43
Total Medicare Payment Amount 58384.43
Total Medicare Standardized Payment Amount 61833.24
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 4
Number of Medicare Beneficiaries With Drug Services 65
Number of Drug Services 67
Total Drug Submitted Charge Amount 3323.67
Total Drug Medicare Allowed Amount 3323.67
Total Drug Medicare Payment Amount 3323.67
Total Drug Medicare Standardized Payment Amount 3257.02
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 15
Number of Medicare Beneficiaries With Medical 712
Number of Medical Services 930
Total Medical Submitted Charge Amount 80000.7
Total Medical Medicare Allowed Amount 55060.76
Total Medical Medicare Payment Amount 55060.76
Total Medical Medicare Standardized Payment Amount 58576.22
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 109
Number of Beneficiaries Age 65 to 74 300
Number of Beneficiaries Age 75 to 84 191
Number of Beneficiaries Age Greater 84 112
Number of Female Beneficiaries 389
Number of Male Beneficiaries 323
Number of Non-Hispanic White Beneficiaries 669
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 119
Number of Beneficiaries With Medicare Only Entitlement 593
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.04
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.08
Percent (%) of Beneficiaries Identified With Asthma 0.02
Percent (%) of Beneficiaries Identified With Cancer 0.04
Percent (%) of Beneficiaries Identified With Heart Failure 0.07
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.15
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.05
Percent (%) of Beneficiaries Identified With Depression 0.13
Percent (%) of Beneficiaries Identified With Diabetes 0.17
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.27
Percent (%) of Beneficiaries Identified With Hypertension 0.3
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.16
Percent (%) of Beneficiaries Identified With Osteoporosis 0.04
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.18
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.02
Average HCC Risk Score of Beneficiaries 1.1228

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Mrs. Tanya Danette Dickerson
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Miss Akilah Fetherson
Speech-Language Pathologist
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Address: 406 W BROAD ST Iva, SC 29655 , Phone: 8643487433
Mrs. Collyn Bowman Smith
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Iva Drug Store, Inc.
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NPI Number: 1770588097
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Iva Drug Store, Inc. in Other Directories

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