WALGREEN CO
Pharmacy · WAILUKU, HI
Organization Active NPI 1235550930
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 59 | 129 | $13,068 | $12,424 | $12,424 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 43 | $45 | $45 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 43 | $128 | $128 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 13 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PHY 847 | HI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
Other Pharmacy providers in Hawaii
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- NPI 1770064685
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- NPI 1215411533
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.