CLARK RETIREMENT PHARMACY
NPI 1023170412
Pharmacy in Grand Rapids, MI

NPI Status: Active since December 14, 2006

Contact Information

1551 FRANKLIN ST SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 452-1568

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pharmacy

About CLARK RETIREMENT PHARMACY

This page provides the complete NPI Profile along with additional information for Clark Retirement Pharmacy, a provider established in Grand Rapids, Michigan operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1023170412 assigned on December 2006. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Robert Perl (Ceo)

NPI: 1023170412
Provider Name: CLARK RETIREMENT PHARMACY
Entity Type: Organization
Location Address: 1551 FRANKLIN ST SE GRAND RAPIDS, MI 49506
Location Phone: (616) 452-1568
Mailing Address: 1551 FRANKLIN ST SE GRAND RAPIDS, MI 49506
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 12-14-2006
Last Update Date: 08-22-2020
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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: Pharmacy
Taxonomy Code: 333600000X
Type: Suppliers
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: ROBERT PERL
Authorized Official Title: CEO
Authorized Official Phone: (616) 452-1568

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	2	3	1	7	0	4	1	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	4	3	2	7	0	4	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 2 + 7 + 0 + 4 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2									2

The NPI number 1023170412 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.