NPI: 1508128109 · ELMHURST, NY 11373 · Pharmacy · NPI assigned 06/11/2012
| Authorized Official | LI, THOMAS (PHARMACY SUPERVISOR) |
| NPI Enumeration Date | 06/11/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 201 | $4K |
| 2020 | 288 | $9K |
| 2021 | 290 | $15K |
| 2022 | 115 | $5K |
| 2024 | 24 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 265 | 260 | $16K |
| A4554 | Disposable underpads, all sizes | 245 | 242 | $10K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 245 | 242 | $7K |
| A4927 | Gloves, non-sterile, per 100 | 163 | 162 | $590.57 |