LIHUE PHARMACY INC
NPI: 1821074972
· LIHUE, HI 96766
· Durable Medical Equipment & Medical Supplies
· NPI assigned 12/21/2005
Provider Details
| Authorized Official | GLICK, KEVIN (PRESIDENT) |
| NPI Enumeration Date | 12/21/2005 |
Related Entities
Other providers sharing the same authorized official: GLICK, KEVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
44 |
$6K |
| 2019 |
207 |
$43K |
| 2020 |
98 |
$803.78 |
| 2021 |
148 |
$5K |
| 2022 |
25 |
$814.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| J2675 |
Injection, progesterone, per 50 mg |
202 |
190 |
$46K |
| 0011A |
|
71 |
66 |
$3K |
| J3490 |
Unclassified drugs |
29 |
29 |
$2K |
| 0012A |
|
59 |
55 |
$2K |
| 0013A |
|
43 |
36 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
64 |
$607.14 |
| 90688 |
|
35 |
28 |
$323.98 |