LAKELAND MEDICAL CENTER NILES
NPI 1053474734
Pharmacy - Institutional Pharmacy in Niles, MI

NPI Status: Active since December 18, 2006

Contact Information

31 N SAINT JOSEPH AVE
NILES, MI
ZIP 49120
Phone: (269) 687-1428

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  • Organization
  • Pharmacy
  • Institutional Pharmacy
  • CLIA Number: 23D2045781
  • CLIA Cert. Type: Other - WOUND CENTER
  • CLIA Exp. Date: 08-20-2026

About LAKELAND MEDICAL CENTER NILES

This page provides the complete NPI Profile along with additional information for Lakeland Medical Center Niles, a provider established in Niles, Michigan operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1053474734 assigned on December 2006. The practitioner's primary taxonomy code is 3336I0012X with license number 5301000048 (MI). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Tim J Calhoun (Vp Finance/cfo)

NPI
1053474734
Provider Name
LAKELAND MEDICAL CENTER NILES
Entity Type
Organization
Location Address
31 N SAINT JOSEPH AVE NILES, MI 49120
Location Phone
(269) 687-1428
Mailing Address
31 N SAINT JOSEPH AVE NILES, MI 49120
Mailing Phone
(269) 687-1428
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2006
Last Update Date
04-06-2018
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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 Institutional Pharmacy

Taxonomy Code
3336I0012X
Type
Suppliers
License No.
5301000048
License State
MI
Taxonomy Description
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.

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.

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

TIM J CALHOUN

Authorized Official Title
VP FINANCE/CFO
Authorized Official Phone
(269) 983-8300

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
2324135OTHER (01)NCPDP

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
23D2045781
Facility Type
Other - WOUND CENTER
Certificate Effective Date
August 21, 2024
Certificate Expiration Date
August 20, 2026
Laboratory Director
JOSE GOMEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lakeland Medical Center Niles 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 1053474734, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 5 → 10 → 1 4 → 8 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 8 + 7 + 8 + 7 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1053474734.

Other Providers at the Same Location


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

Anesthesiology
31 N SAINT JOSEPH AVE, ANESTHESIA DEPARTMENT
NILES, MI 49120
Anesthesiology
31 N SAINT JOSEPH AVE
NILES, MI 49120
Dietitian, Registered (Nutrition, Metabolic)
31 N SAINT JOSEPH AVE
NILES, MI 49120
Anesthesiology
31 N SAINT JOSEPH AVE
NILES, MI 49120
Nurse Anesthetist, Certified Registered
31 N SAINT JOSEPH AVE
NILES, MI 49120
Physical Therapist
31 N SAINT JOSEPH AVE
NILES, MI 49120
Anesthesiology
31 N SAINT JOSEPH AVE
NILES, MI 49120
Physical Therapist
31 N SAINT JOSEPH AVE
NILES, MI 49120
Physical Therapist
31 N SAINT JOSEPH AVE
NILES, MI 49120
Occupational Therapist
31 N SAINT JOSEPH AVE
NILES, MI 49120
Nurse Anesthetist, Certified Registered
31 N SAINT JOSEPH AVE
NILES, MI 49120
Nurse Anesthetist, Certified Registered
31 N SAINT JOSEPH AVE
NILES, MI 49120
Nurse Anesthetist, Certified Registered
31 N SAINT JOSEPH AVE
NILES, MI 49120
Nurse Anesthetist, Certified Registered
31 N SAINT JOSEPH AVE
NILES, MI 49120
Physical Therapist
31 N SAINT JOSEPH AVE
NILES, MI 49120
Occupational Therapist
31 N SAINT JOSEPH AVE
NILES, MI 49120
Internal Medicine (Infectious Disease)
31 N SAINT JOSEPH AVE
NILES, MI 49120
Internal Medicine
31 N SAINT JOSEPH AVE
NILES, MI 49120
Emergency Medicine
31 N SAINT JOSEPH AVE
NILES, MI 49120
Anesthesiology
31 N SAINT JOSEPH AVE
NILES, MI 49120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053474734, enumerated as an "organization" on December 18, 2006.

The provider is located at 31 N SAINT JOSEPH AVE NILES, MI 49120 and the phone number is (269) 687-1428.

Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.