VISHNEV PHARMACY CORP
NPI: 1215097456
· FAR ROCKAWAY, NY 11691
· Pharmacy
· NPI assigned 12/11/2006
$180.51
Total Medicaid Paid
Provider Details
| Authorized Official | SEREBRYAKOVA, LILIYA (OWNER, SUPERVISING PHARMACIST) |
| NPI Enumeration Date | 12/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
45 |
$173.03 |
| 2019 |
14 |
$7.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
45 |
40 |
$173.03 |
| A4259 |
Lancets, per box of 100 |
14 |
12 |
$7.48 |