4977, LLC
NPI 1538274311ActiveOrganization· Pharmacy· Bridgeton, NJ
Pharmacy in Bridgeton, New Jersey, registered in NPPES in August 2006. The authorized official on file is Melissa Figueroa Rivera, Third Party Administrator. Medicare paid $27,838 for services to 122 patients in 2024.
Overview
| NPI | 1538274311 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2006 |
| Last updated in NPPES | Aug 10, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | RS005859 | NJ |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (NJ); Part B Supplier - Mass Immunization (Roster Biller Only) (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 122 |
|---|---|
| Services billed | 354 across 9 procedure codes |
| Paid by Medicare | $27,838 |
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