LITTLE TOKYO PHARMACY, INC.
NPI: 1174544134
· LOS ANGELES, CA 90012
· Pharmacist
· NPI assigned 07/22/2006
$93.36
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, WILLIAM (PIC/OWNER) |
| NPI Enumeration Date | 07/22/2006 |
Related Entities
Other providers sharing the same authorized official: KIM, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$93.36 |
| 2023 |
13 |
$0.00 |
| 2024 |
30 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
25 |
14 |
$93.36 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 90653 |
|
30 |
30 |
$0.00 |