P4 PHARMACY

Long Term Care Pharmacy · SOUTH JORDAN, UT

Organization Active NPI 1093287757

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202470242$21,199$18,925$18,925
202354170$14,494$13,184$13,184
20224692$4,541$4,292$4,292

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine62$29$29
90653Influenza vaccine, inactivated57$82$82
91322Sarscov2 vac 50 mcg/0.5ml im56$158$158
90480Admn sarscov2 vacc 1 dose51$40$40

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Long Term Care Pharmacy3336L0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.