STAR PHARMACY RX INC
NPI: 1932570447
· GUADALUPE, CA 93434
· Compounding Pharmacy
· NPI assigned 10/09/2015
$326.11
Total Medicaid Paid
Provider Details
| Authorized Official | BORAIE, SAMI (PRESIDENT/PIC) |
| NPI Enumeration Date | 10/09/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
64 |
$159.69 |
| 2020 |
54 |
$166.42 |
| 2022 |
12 |
$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 |
118 |
111 |
$326.11 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |