THE STOP & SHOP SUPERMARKET COMPANY LLC
NPI: 1497787360
· WINSTED, CT 06098
· Pharmacy
· NPI assigned 07/07/2006
$714.10
Total Medicaid Paid
Provider Details
| Authorized Official | WHEELER, ROGER (DIRECTOR) |
| NPI Enumeration Date | 07/07/2006 |
Related Entities
Other providers sharing the same authorized official: WHEELER, ROGER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$714.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
12 |
12 |
$714.10 |