COMMUNITY CARE RX NJ INC
NPI: 1164845475
· TOTOWA, NJ 07512
· Department of Veterans Affairs (VA) Pharmacy
· NPI assigned 01/23/2014
$80.00
Total Medicaid Paid
Provider Details
| Authorized Official | MAKSOUD, HOSSAM (CEO) |
| NPI Enumeration Date | 01/23/2014 |
Related Entities
Other providers sharing the same authorized official: MAKSOUD, HOSSAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
159 |
$80.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0003A |
|
119 |
114 |
$80.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
12 |
$0.00 |
| 0013A |
|
27 |
27 |
$0.00 |