LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · KAPOLEI, HI
Organization Active NPI 1215174693
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 102 | 328 | $26,003 | $25,168 | $25,168 |
| 2023 | 203 | 1,215 | $37,057 | $35,909 | $35,909 |
| 2022 | 252 | 1,410 | $31,991 | $29,780 | $29,780 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 81 | $31 | $31 |
| 90480 | Admn sarscov2 vacc 1 dose | 77 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 77 | $150 | $150 |
| 90653 | Influenza vaccine, inactivated | 43 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 26 | $80 | $80 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | PHY-903 | HI |
Other Pharmacy providers in Hawaii
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- NPI 1124606611
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.