MEDICAL CARE DISPENSARY ELIZABETHTON
NPI 1033991856
Non-Pharmacy Dispensing Site in Elizabethton, TN

NPI Status: Active since October 17, 2023

Contact Information

1500 W ELK AVE
ELIZABETHTON, TN
ZIP 37643
Phone: (423) 929-2584
Fax: (423) 722-2060

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 44D2268473
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-12-2026

About MEDICAL CARE DISPENSARY ELIZABETHTON

This page provides the complete NPI Profile along with additional information for Medical Care Dispensary Elizabethton, a provider established in Elizabethton, Tennessee operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1033991856 assigned on October 2023. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Medical Care Dispensary Elizabethton. The authorized official of this NPI record is Matthew Gouge Pharmacist (Manager/pharmacist)

NPI
1033991856
Provider Legal Name
MEDICAL CARE PLLC
Other Organization Name
MEDICAL CARE DISPENSARY ELIZABETHTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1500 W ELK AVE ELIZABETHTON, TN 37643
Location Phone
(423) 929-2584
Location Fax
(423) 722-2060
Mailing Address
1500 W ELK AVE ELIZABETHTON, TN 37643
Mailing Phone
(423) 461-0335
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-17-2023
Last Update Date
10-20-2023
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

MATTHEW GOUGE PHARMACIST

Authorized Official Title
MANAGER/PHARMACIST
Authorized Official Phone
(423) 461-0335

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
44D2268473
Facility Type
Physician Office
Certificate Effective Date
September 13, 2024
Certificate Expiration Date
September 12, 2026
Laboratory Director
JEFF A. HOPLAND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medical Care Dispensary Elizabethton 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 1033991856, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 3 → 6 9 → 18 → 9 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 1 + 8 + 9 + 2 + 8 + 1 + 0 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1033991856.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner
1500 W ELK AVE
ELIZABETHTON, TN 37643
Family Medicine
1500 W ELK AVE
ELIZABETHTON, TN 37643
Orthopaedic Surgery
1500 W ELK AVE
ELIZABETHTON, TN 37643
Family Medicine
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Pediatrics)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Pediatrics
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643
General Practice
1500 W ELK AVE
ELIZABETHTON, TN 37643
Family Medicine
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Family Medicine
1500 W ELK AVE
ELIZABETHTON, TN 37643
Obstetrics & Gynecology (Gynecology)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner
1500 W ELK AVE
ELIZABETHTON, TN 37643
Physical Therapist
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Family Medicine
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1500 W ELK AVE
ELIZABETHTON, TN 37643
Pharmacist (Ambulatory Care)
1500 W ELK AVE
ELIZABETHTON, TN 37643

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033991856, enumerated as an "organization" on October 17, 2023.

The provider is located at 1500 W ELK AVE ELIZABETHTON, TN 37643 and the phone number is (423) 929-2584.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.