VITALIS DRUGS LLC
NPI: 1851725964
· JERSEY CITY, NJ 07307
· Pharmacy
· NPI assigned 08/26/2013
$431.77
Total Medicaid Paid
Provider Details
| Authorized Official | ASHAMALLA, ASHRAF (CO-OWNER/MANAGER) |
| NPI Enumeration Date | 08/26/2013 |
Related Entities
Other providers sharing the same authorized official: ASHAMALLA, ASHRAF
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
28 |
$108.09 |
| 2021 |
107 |
$323.68 |
| 2022 |
246 |
$0.00 |
| 2023 |
205 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
166 |
161 |
$392.65 |
| A4259 |
Lancets, per box of 100 |
98 |
97 |
$39.12 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
322 |
320 |
$0.00 |