JAI MARUTI RX LLC
NPI: 1881998938
· JACKSONVILLE, FL 32208
· Pharmacy
· NPI assigned 01/04/2011
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, KAVIN (PHARMACY MANAGER) |
| NPI Enumeration Date | 01/04/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
16 |
$0.00 |
| 2022 |
69 |
$0.00 |
| 2023 |
17 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 0003A |
|
16 |
14 |
$0.00 |
| 0004A |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
13 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
56 |
53 |
$0.00 |