NPI: 1114004082 · PITTSBURGH, PA 15235 · Community/Retail Pharmacy · NPI assigned 10/31/2006
| Authorized Official | POLLACK, THOMAS (PRESIDENT AND CFO) |
| NPI Enumeration Date | 10/31/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 215 | $0.00 |
| 2021 | 519 | $6.00 |
| 2022 | 101 | $24.63 |
| 2023 | 231 | $7.63 |
| 2024 | 104 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7517 | Mycophenolate mofetil, oral, 250 mg | 376 | 350 | $32.26 |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 286 | 180 | $3.60 |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 448 | 174 | $2.40 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 60 | 60 | $0.00 |