SPRINGFIELD PHARMACY LLC
NPI: 1457818981
· SPRINGFIELD, MA 01107
· Community/Retail Pharmacy
· NPI assigned 02/20/2019
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WU, ALEXANDER (PHARMACY MANAGER) |
| NPI Enumeration Date | 02/20/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
177 |
$0.00 |
| 2021 |
80 |
$0.00 |
| 2022 |
243 |
$0.00 |
| 2023 |
87 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
59 |
59 |
$0.00 |
| 90756 |
|
29 |
29 |
$0.00 |
| 90674 |
|
28 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
339 |
339 |
$0.00 |
| 90686 |
|
42 |
42 |
$0.00 |
| 90694 |
|
90 |
90 |
$0.00 |