CENTERWELL PHARMACY, INC. SOS Verified
1397 S LOOP RD, PAHRUMP, NV 89048
NPI Number
1366961781
SOS Verification: Verified
Entity Name: CENTERWELL PHARMACY, INC.
Entity Number: C8462-2001
Entity Type: Foreign Corporation
Entity Status: Active
Formation Date: 2001-04-03
Name Match: 95%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Treasurer | Robert Marcoux | 101 E. Main St., Louisville, KY | Active |
| President | Bethanie L. Stein | 101 E. Main St., Louisville, KY | Active |
| Director | Robert Marcoux | 101 E. Main St., Louisville, KY | Active |
| Director | Bethanie L. Stein | 101 E. Main St., Louisville, KY | Active |
| Secretary | Courtney Durall | 101 E. Main St., Louisville, KY | Active |
| Director | Daniel Feld | 101 E. Main St., Louisville, KY | Active |
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2021 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 0013A | Medical service or procedure | 29 | $0 | 0.0% | $0 |