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Pharmacy Provider File Submission

Maine

Versions: Pharmacy Provider File Submission• Pharmacy Provider File SubmissionCompare Versions


Name:Pharmacy Provider File Submission
State:Maine
Definition:Not Provided
Versionv1.1

File Specification for Pharmacy Provider File Submission

Data Element ID Data Element Description Type Format Length
Multiple versionsPM901 Data Processing Center Code This field contains the unique pharmacy identifier that crosses all payers. This field is the link to the Pharmacy Detail file (PCSP902). NUMBER 12
Multiple versionsPM902 Pharmacy Tax ID Number This field should contain the pharmacy's tax identification number. This field is normalized from PC019 in the medical claims data. CHAR 10
Multiple versionsPM903 Pharmacy Name This field contains the name of the pharmacy filling the prescription. This field is derived from normalizingPCSP905 in the Pharmacy Detail file CHAR 100
Multiple versionsPM906 National Pharmacy ID Number This field is derived from PC021 in the pharmacy claims data. CHAR 20
Multiple versionsPM907 Pharmacy City Name This field contains the city name of the pharmacy. This field is derived from PCSP907 in the Pharmacy Detail file. CHAR 30
Multiple versionsPM908 Pharmacy State or Province This is the two character abbreviation for city as defined by the US Postal Service. This field is derived from normalizing PCSP908 in the Pharmacy Detail file. CHAR 2
PM909 Pharmacy Zip Code This field contains the zip code of the pharmacy location. It may contain non US codes. This field is derived from normalizing PCSP909 in the Pharmacy Detail file. VARCHAR 11

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Data Element ID Data Element Code Value
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