SUPER PHARM INC
NPI: 1578908778
· VAN NUYS, CA 91406
· Community/Retail Pharmacy
· NPI assigned 05/02/2013
2,496
Beneficiary Records
Provider Details
| Authorized Official | MALOYAN, LUIZA (PRESIDENT/OWNER) |
| NPI Enumeration Date | 05/02/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
740 |
$2K |
| 2019 |
714 |
$2K |
| 2020 |
532 |
$1K |
| 2021 |
400 |
$1K |
| 2022 |
193 |
$757.95 |
| 2023 |
13 |
$34.93 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,607 |
1,532 |
$6K |
| A4259 |
Lancets, per box of 100 |
985 |
964 |
$733.89 |