MODERN APOTHECARY, LLC

Pharmacy · KENOSHA, WI

Organization Active NPI 1407265598

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202485282$28,164$22,152$22,152
2023150605$25,885$21,787$21,787
2022344894$38,582$32,639$32,639

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
90480Admn sarscov2 vacc 1 dose71$41$41
G0008Administration of influenza virus vaccine66$30$30
91322Sarscov2 vac 50 mcg/0.5ml im57$158$158
90653Influenza vaccine, inactivated53$82$82
91320Sarscv2 vac 30mcg trs-suc im14$128$128

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pharmacy333600000X9274-42WI
Community/Retail Pharmacy3336C0003X
Compounding Pharmacy3336C0004X

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