JEFFCO DRUG CENTER IN JEFFERSON CITY
NPI 1043364490
Pharmacy - Community/Retail Pharmacy in Jefferson City, TN
NPI Status: Active since January 23, 2007
Contact Information
153 E BROADWAY BLVD
STE 103
JEFFERSON CITY, TN
ZIP 37760
Phone: (865) 471-5111
Fax: (865) 471-5199
- Organization
- Pharmacy
- Community/Retail Pharmacy
About JEFFCO DRUG CENTER IN JEFFERSON CITY
This page provides the complete NPI Profile along with additional information for Jeffco Drug Center In Jefferson City, a provider established in Jefferson City, Tennessee operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1043364490 assigned on January 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 3918 (TN). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Jeffco Drug Center In Jefferson City. The authorized official of this NPI record is Beau Kisabeth (Manager)
- NPI
- 1043364490
- Provider Legal Name
- MOUNTAIN VALLEY RX 05 INC
- Other Organization Name
- JEFFCO DRUG CENTER IN JEFFERSON CITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 153 E BROADWAY BLVD STE 103 JEFFERSON CITY, TN 37760
- Location Phone
- (865) 471-5111
- Location Fax
- (865) 471-5199
- Mailing Address
- PO BOX 385 DANDRIDGE, TN 37725
- Mailing Phone
- (865) 475-9969
- Mailing Fax
- (865) 471-5199
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-23-2007
- Last Update Date
- 03-30-2010
- 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
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- 3918
- License State
- TN
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4437364 | OTHER (01) | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 4314720002 | MEDICARE NSC (07) |
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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 1043364490, 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 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 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
JEFFERSON CITY, TN 37760
JEFFERSON CITY, TN 37760
JEFFERSON CITY, TN 37760
JEFFERSON CITY, TN 37760
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043364490, enumerated as an "organization" on January 23, 2007.
The provider is located at 153 E BROADWAY BLVD STE 103 JEFFERSON CITY, TN 37760 and the phone number is (865) 471-5111.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
