TEXAS ROAD OLD BRIDGE LLC NPI 1003004904
Pharmacy - Community/Retail Pharmacy in Old Bridge, NJ
About TEXAS ROAD OLD BRIDGE LLC
Texas Road Pharmacy is a provider established in Old Bridge, New Jersey operating as a Pharmacy with a focus in community/retail pharmacy . The NPI number of this provider is 1003004904 and was assigned on October 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 28RS00674300 (NJ). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Texas Road Pharmacy. The authorized official of this NPI record is Christopher Socha Rph (Secretary Treasurer)
| NPI | 1003004904 |
| Provider Name | TEXAS ROAD OLD BRIDGE LLC |
| Location Address | 1183 ENGLISHTOWN RD OLD BRIDGE, NJ 08857 |
| Location Phone | (732) 723-1101 |
| Mailing Address | 1183 ENGLISHTOWN RD OLD BRIDGE, NJ 08857 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | TEXAS ROAD PHARMACY |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 10-05-2007 |
| Last Update Date | 03-11-2016 |
The CLIA number of Texas Road Pharmacy is 31D2193618 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Texas Road Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 3336C0003X |
| Classification | Pharmacy |
| Type | Suppliers |
| Specialization | Community/Retail Pharmacy |
| License No. | 28RS00674300 |
| License State | NJ |
| Taxonomy Description | A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1183 ENGLISHTOWN RD
OLD BRIDGE, NJ
ZIP 08857
Phone: (732) 723-1101
Fax: (732) 723-1141
Mailing Address
1183 ENGLISHTOWN RD
OLD BRIDGE, NJ
ZIP 08857
Phone: (732) 723-1101
Fax: (732) 723-1141
Location Map
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003004904 is:
| CLIA Number | 31D2193618 |
| Facility Type | PHARMACY |
| Certificate Type | Certificate of Waiver |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy | No | |||
Taxonomy Description: a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. | |||||||
| 2 | 3336S0011X | Suppliers | Pharmacy | Specialty Pharmacy | No | ||
Taxonomy Description: a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2056179 | OTHER (01) | PK | |
| 0162329 | MEDICAID (05) | NJ | |
| 6061970001 | MEDICARE NSC (07) |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 4 | 9 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 8 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 8 + 9 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1003004904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356491948 | MR. KEITH S GERMAINE BS Individual | Pharmacist | 1183 ENGLISHTOWN RD OLD BRIDGE, NJ 08857 (732) 723-1101 |
Frequently Asked Questions
What is TEXAS ROAD PHARMACY NPI number?
The NPI number assigned to this healthcare provider is 1003004904, registered as an "organization" on October 05, 2007
Where is TEXAS ROAD PHARMACY located?
The provider is located at 1183 Englishtown Rd Old Bridge, Nj 08857 and the phone number is (732) 723-1101
What kind of medical provider is TEXAS ROAD PHARMACY?
This medical organization specializes in Pharmacy with a focus in Community/Retail Pharmacy
What insurance does TEXAS ROAD PHARMACY accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
What is TEXAS ROAD PHARMACY CLIA number?
The provider's CLIA number is 31D2193618 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
How do I update my NPI information?
The NPI record of TEXAS ROAD PHARMACY was last updated on October 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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