FIVE STAR RX INC
NPI: 1194855908
· VAN NUYS, CA 91406
· Pharmacy
· NPI assigned 03/07/2007
Provider Details
| Authorized Official | SADOVSKY, IRINA (PRESIDENT/PIC) |
| NPI Enumeration Date | 03/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
629 |
$3K |
| 2019 |
308 |
$1K |
| 2020 |
351 |
$1K |
| 2021 |
108 |
$740.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,025 |
919 |
$5K |
| A4259 |
Lancets, per box of 100 |
371 |
324 |
$275.12 |