Spring Park Pharmacy LLC
NPI 1902311046ActiveOrganization· Pharmacy· Jacksonville, FL
Pharmacy in Jacksonville, Florida, registered in NPPES in December 2017. The authorized official on file is Stacy Chao, Pharmacist In Charge. Medicare paid $3,490 for services to 14 patients in 2024.
Overview
| NPI | 1902311046 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2017 |
| Last updated in NPPES | Jul 16, 2018 |
Specialties and licenses
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 Part B Supplier - Mass Immunization (Roster Biller Only) (FL); Part B Supplier - Pharmacy (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 46 across 5 procedure codes |
| Paid by Medicare | $3,490 |
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