VINCENT LY PHARMACY INCORPORATION
NPI: 1902251945
· MONTEREY PARK, CA 91754
· Pharmacy
· NPI assigned 04/27/2016
Provider Details
| Authorized Official | LY, VINCENT (CEO/PHARMACIST IN CHARGE) |
| NPI Enumeration Date | 04/27/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
48 |
$3K |
| 2020 |
322 |
$16K |
| 2021 |
88 |
$3K |
| 2023 |
57 |
$44.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90750 |
|
134 |
130 |
$21K |
| 90715 |
|
13 |
13 |
$697.84 |
| 90480 |
|
39 |
39 |
$44.55 |
| S9430 |
Pharmacy compounding and dispensing services |
311 |
283 |
$8.00 |
| 91322 |
|
18 |
18 |
$0.00 |