NPI: 1801187166 · NEW YORK, NY 10021 · Pharmacy · NPI assigned 04/21/2011
| Authorized Official | GELWAN, STEVEN (SUPERVISING PHARMACIST) |
| NPI Enumeration Date | 04/21/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 568 | $60.71 |
| 2020 | 787 | $968.76 |
| 2021 | 800 | $2K |
| 2022 | 147 | $1K |
| 2023 | 19 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 583 | 541 | $3K |
| J7517 | Mycophenolate mofetil, oral, 250 mg | 403 | 378 | $1K |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 901 | 583 | $0.00 |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 434 | 418 | $0.00 |