PACIFIC PHARMACY INC.
NPI: 1700808649
· SAN GABRIEL, CA 91776
· Long Term Care Pharmacy
· NPI assigned 07/23/2006
Provider Details
| Authorized Official | UNG, LYNN (CEO) |
| NPI Enumeration Date | 07/23/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
693 |
$3K |
| 2019 |
450 |
$2K |
| 2020 |
575 |
$3K |
| 2021 |
607 |
$3K |
| 2022 |
207 |
$1K |
| 2023 |
237 |
$576.70 |
| 2024 |
94 |
$323.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
1,515 |
1,391 |
$12K |
| A4259 |
Lancets, per box of 100 |
1,348 |
1,240 |
$2K |