ONE STOP PHARMACY INC
NPI: 1134426372
· CENTREVILLE, VA 20121
· Community/Retail Pharmacy
· NPI assigned 02/24/2011
$0.98
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, JEE (PRESIDENT) |
| NPI Enumeration Date | 02/24/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
318 |
$0.98 |
| 2019 |
214 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90662 |
|
265 |
242 |
$0.98 |
| G0008 |
Administration of influenza virus vaccine |
267 |
244 |
$0.00 |