J W PHARMACY
NPI: 1417067729
· BENTON, KY 42025
· Skilled Nursing Facility
· NPI assigned 08/30/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WISEMAN, JAMES (OWNER PRES) |
| NPI Enumeration Date | 08/30/2006 |
Related Entities
Other providers sharing the same authorized official: WISEMAN, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
58 |
$0.00 |
| 2019 |
16 |
$0.00 |
| 2020 |
50 |
$0.00 |
| 2021 |
74 |
$0.00 |
| 2022 |
50 |
$0.00 |
| 2023 |
49 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
159 |
159 |
$0.00 |
| 90694 |
|
110 |
110 |
$0.00 |
| 90653 |
|
28 |
28 |
$0.00 |