MONACAN HEALTH CENTER TRIBAL PHARMACY
NPI 1003500240
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Madison Heights, VA
NPI Status: Active since June 08, 2023
Contact Information
108 DIXIE AIRPORT RD.
MADISON HEIGHTS, VA
ZIP 24572
Phone: (804) 622-0011
Fax: (804) 622-0010
- Organization
- Indian Health Service/Tribal/Urban India...
- CLIA Number: 49D2291754
- CLIA Cert. Type: Other - HHS, PHS, IHS HLTH CLINIC
- CLIA Exp. Date: 10-15-2027
About MONACAN HEALTH CENTER TRIBAL PHARMACY
This page provides the complete NPI Profile along with additional information for Monacan Health Center Tribal Pharmacy, a provider established in Madison Heights, Virginia operating as a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The healthcare provider is registered in the NPI registry with number 1003500240 assigned on June 2023. The practitioner's primary taxonomy code is 332800000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Monacan Health Center Tribal Pharmacy. The authorized official of this NPI record is Remedios Dee Holmes (Administrative Officer)
- NPI
- 1003500240
- Provider Legal Name
- INDIAN HEALTH SERVICE RICHMOND SERVICE UNIT
- Other Organization Name
- MONACAN HEALTH CENTER TRIBAL PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 108 DIXIE AIRPORT RD. MADISON HEIGHTS, VA 24572
- Location Phone
- (804) 622-0011
- Location Fax
- (804) 622-0010
- Mailing Address
- 108 DIXIE AIRPORT RD. MADISON HEIGHTS, VA 24572
- Mailing Phone
- (804) 622-0011
- Mailing Fax
- (804) 622-0010
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-08-2023
- Last Update Date
- 03-20-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Taxonomy Code
- 332800000X
- Type
- Suppliers
- Taxonomy Description
- An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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 this NPI number is:
- CLIA Number
- 49D2291754
- Facility Type
- Other - HHS, PHS, IHS HLTH CLINIC
- Certificate Effective Date
- October 16, 2025
- Certificate Expiration Date
- October 15, 2027
- Laboratory Director
- JUANTINA JOHNSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Monacan Health Center Tribal 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003500240, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 40. The final step is to find the difference between that total and the next multiple of ten (40 - 40 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 40 is 40. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
MADISON HEIGHTS, VA 24572
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003500240, enumerated as an "organization" on June 08, 2023.
The provider is located at 108 DIXIE AIRPORT RD. MADISON HEIGHTS, VA 24572 and the phone number is (804) 622-0011.
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.