ACTIVE CARE PHARMACY INC
NPI: 1477061745
· FOUNTAIN VALLEY, CA 92708
· Long Term Care Pharmacy
· NPI assigned 01/19/2018
$122.60
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, TYRONE (CEO/OWNER) |
| NPI Enumeration Date | 01/19/2018 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, TYRONE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
26 |
$70.38 |
| 2024 |
57 |
$52.22 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
13 |
13 |
$56.92 |
| E0570 |
Nebulizer, with compressor |
57 |
57 |
$52.22 |
| A4259 |
Lancets, per box of 100 |
13 |
13 |
$13.46 |