PRESCOTT PHARMACY LTC INC
NPI: 1023562006
· WORCESTER, MA 01605
· Long Term Care Pharmacy
· NPI assigned 08/08/2016
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BUFFUM, DANIEL (PHARMACY MANAGER) |
| NPI Enumeration Date | 08/08/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
264 |
$0.00 |
| 2019 |
263 |
$0.00 |
| 2020 |
107 |
$0.00 |
| 2021 |
146 |
$0.00 |
| 2022 |
150 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90653 |
|
60 |
60 |
$0.00 |
| 90662 |
|
56 |
56 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
486 |
486 |
$0.00 |
| 90686 |
|
208 |
208 |
$0.00 |
| 90674 |
|
17 |
17 |
$0.00 |
| 90688 |
|
26 |
26 |
$0.00 |
| 90694 |
|
77 |
77 |
$0.00 |