NPI: 1609984194 · PUEBLO, CO 81006 · Pharmacy · NPI assigned 08/26/2006
| Authorized Official | CERNAC, JOHN (RPH/PRESIDENT) |
| NPI Enumeration Date | 08/26/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 70 | $1K |
| 2021 | 321 | $10K |
| 2022 | 194 | $5K |
| 2023 | 121 | $3K |
| 2024 | 26 | $478.72 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0031A | 109 | 107 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 218 | 205 | $4K |
| 90688 | 165 | 160 | $3K | |
| 0003A | 69 | 67 | $3K | |
| 0013A | 50 | 49 | $2K | |
| 0134A | 47 | 30 | $2K | |
| 90480 | 35 | 28 | $2K | |
| 0002A | 27 | 27 | $1K | |
| 90656 | 12 | 12 | $245.85 |