LONGS DRUG STORES CALIFORNIA LLC
Community/Retail Pharmacy · KAHULUI, HI
Organization Active NPI 1891737615
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 414 | 1,328 | $111,233 | $108,167 | $108,167 |
| 2023 | 577 | 3,807 | $107,535 | $103,844 | $103,844 |
| 2022 | 782 | 3,854 | $93,927 | $86,214 | $86,214 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 350 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 349 | $152 | $152 |
| G0008 | Administration of influenza virus vaccine | 281 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 176 | $80 | $80 |
| 90653 | Influenza vaccine, inactivated | 96 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 33 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 32 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY184 | HI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Hawaii
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.