LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · KOLOA, HI
Organization Active NPI 1154707537
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 292 | 964 | $80,737 | $78,475 | $78,475 |
| 2023 | 370 | 1,506 | $71,540 | $69,046 | $69,046 |
| 2022 | 388 | 1,371 | $39,917 | $35,414 | $35,414 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 264 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 262 | $151 | $151 |
| G0008 | Administration of influenza virus vaccine | 199 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 138 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 53 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 19 | $30 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Hawaii
- NPI 1942863972
- NPI 1336703388
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- NPI 1326031279
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.