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Prodigious Industries LLC

NPI 1477819266ActiveOrganization· Pharmacy· Mesquite, TX

Pharmacy in Mesquite, Texas, registered in NPPES in April 2012. The authorized official on file is Fronce Barnes, Pharmacist In Charge. Medicare paid $12,552 for services to 40 patients in 2024.

Overview

NPI1477819266
StatusActive
Entity typeOrganization
NPI issuedApr 5, 2012
Last updated in NPPESAug 22, 2022
Certified by providerAug 22, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X27978TX
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients40
Services billed148 across 8 procedure codes
Paid by Medicare$12,552

Medicare sources and data years

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