NPI: 1205975463 · FARMINGDALE, NY 11735 · Pharmacy · NPI assigned 02/05/2007
| Authorized Official | VENIGALLA, PRASAD (PRESIDENT) |
| NPI Enumeration Date | 02/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 54 | $5K |
| 2019 | 65 | $5K |
| 2020 | 39 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4100 | Food thickener, administered orally, per ounce | 158 | 135 | $12K |