JR PHARMACY LLC 2
NPI: 1275601072
· TERRE HAUTE, IN 47802
· Long Term Care Pharmacy
· NPI assigned 12/01/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WARREN, TERRY (PRESIDENT) |
| NPI Enumeration Date | 12/01/2006 |
Related Entities
Other providers sharing the same authorized official: WARREN, TERRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
67 |
$0.00 |
| 2019 |
69 |
$0.00 |
| 2020 |
57 |
$0.00 |
| 2021 |
28 |
$0.00 |
| 2022 |
113 |
$0.00 |
| 2023 |
51 |
$0.00 |
| 2024 |
126 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
57 |
56 |
$0.00 |
| 90674 |
|
45 |
45 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
196 |
180 |
$0.00 |
| 90480 |
|
32 |
16 |
$0.00 |
| 90688 |
|
32 |
32 |
$0.00 |
| 90686 |
|
34 |
34 |
$0.00 |
| 90662 |
|
83 |
68 |
$0.00 |
| 91322 |
|
32 |
16 |
$0.00 |