WATERFRONT FAMILY PHARMACY LLC
NPI: 1629099684
· MORGANTOWN, WV 26501
· Pharmacy
· NPI assigned 07/22/2006
Provider Details
| Authorized Official | HUDSON, RACHAEL (CO OWNER AND PHARM) |
| NPI Enumeration Date | 07/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38 |
$683.10 |
| 2019 |
14 |
$407.80 |
| 2020 |
93 |
$0.00 |
| 2021 |
97 |
$0.00 |
| 2022 |
46 |
$0.00 |
| 2023 |
33 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
128 |
128 |
$749.35 |
| 90686 |
|
64 |
64 |
$341.55 |
| 90662 |
|
13 |
13 |
$0.00 |
| 0002A |
|
27 |
27 |
$0.00 |
| 0031A |
|
31 |
31 |
$0.00 |
| 0064A |
|
15 |
15 |
$0.00 |
| 90674 |
|
14 |
14 |
$0.00 |
| 0001A |
|
29 |
29 |
$0.00 |