MEDICAL CENTER WEST COMPDING LAB
NPI 1063669315
Pharmacy - Compounding Pharmacy in Evans, GA

NPI Status: Active since August 19, 2008

Contact Information

465 N BELAIR RD
1A2
EVANS, GA
ZIP 30809
Phone: (706) 855-5502
Fax: (706) 854-2425

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  • Organization
  • Pharmacy
  • Compounding Pharmacy

About MEDICAL CENTER WEST COMPDING LAB

This page provides the complete NPI Profile along with additional information for Medical Center West Compding Lab, a provider established in Evans, Georgia operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1063669315 assigned on August 2008. The practitioner's primary taxonomy code is 3336C0004X with license number PHRE009484 (GA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Medical Center West Compding Lab. The authorized official of this NPI record is Kyle W Pulliam (Pharmacist)

NPI
1063669315
Provider Legal Name
MEDEQUIP HEALTH CORP
Other Organization Name
MEDICAL CENTER WEST COMPDING LAB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
465 N BELAIR RD 1A2 EVANS, GA 30809
Location Phone
(706) 855-5502
Location Fax
(706) 854-2425
Mailing Address
465 N BELAIR RD STE 1A2 EVANS, GA 30809
Mailing Phone
(706) 855-5502
Mailing Fax
(706) 854-2425
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2008
Last Update Date
08-19-2008
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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 Compounding Pharmacy

Taxonomy Code
3336C0004X
Type
Suppliers
License No.
PHRE009484
License State
GA
Taxonomy Description
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

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

KYLE W PULLIAM

Authorized Official Title
PHARMACIST
Authorized Official Phone
(706) 855-5502

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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 1063669315, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
5
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 6 → 12 → 3 6 → 12 → 3 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 1 + 2 + 6 + 1 + 8 + 3 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1063669315.

Other Providers at the Same Location


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

Family Medicine
465 N BELAIR RD, SUITE 1C
EVANS, GA 30809
Counselor (Professional)
465 N BELAIR RD, SUITE 2D
EVANS, GA 30809
Psychiatry & Neurology (Psychiatry)
465 N BELAIR RD, SUITE 2D
EVANS, GA 30809
Family Medicine
465 N BELAIR RD, SUITE 1C
EVANS, GA 30809
Family Medicine
465 N BELAIR RD, SUITE 1C
EVANS, GA 30809
Family Medicine
465 N BELAIR RD, SUITE 1C
EVANS, GA 30809
Family Medicine
465 N BELAIR RD, SUITE 1C
EVANS, GA 30809
Family Medicine
465 N BELAIR RD, SUITE 1C
EVANS, GA 30809
Pharmacist
465 N BELAIR RD, SUITE 1A
EVANS, GA 30809
Pharmacist
465 N BELAIR RD, SUITE 1A
EVANS, GA 30809
Counselor (Professional)
465 N BELAIR RD, STE 2D
EVANS, GA 30809
Durable Medical Equipment & Medical Supplies
465 N BELAIR RD, SUITE 1A
EVANS, GA 30809
Physician Assistant
465 N BELAIR RD, SUITE 1 B
EVANS, GA 30809
Nurse Practitioner (Family)
465 N BELAIR RD, SUITE 2B
EVANS, GA 30809
Nurse Practitioner (Family)
465 N BELAIR RD, SUITE 1-B
EVANS, GA 30809
Nurse Practitioner (Family)
465 N BELAIR RD, SUITE 2B
EVANS, GA 30809
Internal Medicine
465 N BELAIR RD, SUITE 3-A
EVANS, GA 30809
Nurse Practitioner (Family)
465 N BELAIR RD, STE 2B
EVANS, GA 30809
Nurse Practitioner (Family)
465 N BELAIR RD, SUITE 1B
EVANS, GA 30809
Plastic Surgery
465 N BELAIR RD, SUITE 3F
EVANS, GA 30809

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063669315, enumerated as an "organization" on August 19, 2008.

The provider is located at 465 N BELAIR RD 1A2 EVANS, GA 30809 and the phone number is (706) 855-5502.

Pharmacy with taxonomy code 3336C0004X and a focus in Compounding Pharmacy.