175 JERICHO PHARMACY CORP
NPI: 1699267120
· SYOSSET, NY 11791
· Community/Retail Pharmacy
· NPI assigned 05/31/2018
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
272 |
$5K |
| 2024 |
93 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
305 |
286 |
$9K |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
60 |
60 |
$576.00 |