SPARTA PHARMACY
NPI: 1821400797
· SPARTA, NJ 07871
· Community/Retail Pharmacy
· NPI assigned 05/27/2014
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, SHARAD (PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 05/27/2014 |
Related Entities
Other providers sharing the same authorized official: PATEL, SHARAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
26 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 90661 |
|
13 |
13 |
$0.00 |