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TMSIS Dataguide Medicaid.gov
Version 3.27.0

DISPENSING-PRESCRIPTION-DRUG-PROV-NPI

Data Element

DE Number

CRX102

System DE Number

CRX.002.102

File Name

CRX - CLAIM PHARMACY

File Segment Number

CRX00002

File Segment Name

CLAIM-HEADER-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances
Definition

The National Provider ID (NPI) of the provider responsible for dispensing the prescription drug.
Size X(10)
FLF Start Position 788
FLF Stop Position 797
Segment Key Field Identifier Not Applicable
Coding Requirements

1. Value must be 10 digits
2. Value must have an associated Provider Identifier Type (PRV.005.007) equal to '2'
3. When Type of Claim not in ('3','C','W') then value must match Provider Identifier (PRV.005.081)
4. Mandatory
5. Value must exist in the NPPES NPI data file
6. Nppes Entity Type Code associate with this NPI must equal ‘1’ (Individual)

Valid Value Code Set Valid Value Code Valid Value Name Valid Value Description Effective Start Date Effective End Date
DE Number System DE Number DE Name File Segment Number File Segment Name