CENTRAL DRUG STORE INC
NPI: 1811176365
· BATON ROUGE, LA 70818
· Community/Retail Pharmacy
· NPI assigned 11/01/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | HILL, KALEY (OWNER) |
| NPI Enumeration Date | 11/01/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
68 |
$0.00 |
| 2020 |
45 |
$0.00 |
| 2021 |
86 |
$0.00 |
| 2022 |
210 |
$0.00 |
| 2023 |
79 |
$0.00 |
| 2024 |
87 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
55 |
53 |
$0.00 |
| 90653 |
|
43 |
43 |
$0.00 |
| 90694 |
|
171 |
171 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
294 |
292 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |