Vaccine claims need two NPI numbers

NCPA January 8, 2021

Pharmacies providing COVID-19 vaccines will more than likely need to submit the pharmacist's NPI number on claims for reimbursement. Pharmacists who order vaccines (allowed during the public health emergency and all times in some states) need to have a Type 1 NPI (apply here). The pharmacist’s Type 1 NPI number should be submitted in the prescriber/ordering provider field and pharmacy's Type 2 NPI is submitted as usual for payment. Download this handout for more information about billing COVID-19 vaccines. If the vaccine is ordered by a different prescriber (e.g., physician) or under a standing order, that person’s NPI number would be submitted. For more help, email [email protected].

NCPA