ROSES PHARMACY LLC
NPI: 1083197248
· MARRERO, LA 70072
· Community/Retail Pharmacy
· NPI assigned 09/12/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | TRAN, HONG (OWNER) |
| Parent Organization | ROSES PHARMACY LLC |
| NPI Enumeration Date | 09/12/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$0.00 |
| 2019 |
13 |
$0.00 |
| 2020 |
14 |
$0.00 |
| 2021 |
870 |
$0.00 |
| 2022 |
26 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0013A |
|
29 |
29 |
$0.00 |
| 0004A |
|
15 |
15 |
$0.00 |
| 0012A |
|
210 |
210 |
$0.00 |
| 0011A |
|
439 |
438 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
57 |
57 |
$0.00 |
| 0134A |
|
12 |
12 |
$0.00 |
| 0064A |
|
161 |
161 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$0.00 |