SYMBRIA RX SERVICES GREAT PLAINS, LLC
NPI: 1093172991
· LEES SUMMIT, MO 64086
· Long Term Care Pharmacy
· NPI assigned 01/22/2016
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BROWN, DEREK (VICE PRESIDENT OF PHARMACY) |
| NPI Enumeration Date | 01/22/2016 |
Related Entities
Other providers sharing the same authorized official: BROWN, DEREK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
60 |
$0.00 |
| 2022 |
53 |
$0.00 |
| 2023 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
17 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
18 |
18 |
$0.00 |
| 90480 |
|
14 |
14 |
$0.00 |
| 90694 |
|
30 |
30 |
$0.00 |
| 0003A |
|
48 |
48 |
$0.00 |
| 91320 |
|
14 |
14 |
$0.00 |