NPI: 1356791826 · MINEOLA, NY 11501 · Community/Retail Pharmacy · NPI assigned 06/15/2016
| Authorized Official | MARTINCIC, ANTHONY (OWNER/PIC) |
| NPI Enumeration Date | 06/15/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 50 | $8K |
| 2019 | 68 | $12K |
| 2020 | 127 | $21K |
| 2021 | 106 | $18K |
| 2022 | 133 | $23K |
| 2023 | 170 | $29K |
| 2024 | 118 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 772 | 744 | $132K |