HEARTLAND PHARMACY LAKE PLACID INC
NPI 1063958437
Durable Medical Equipment & Medical Supplies in Lake Placid, FL

NPI Status: Active since January 10, 2017

Contact Information

342 E ROYAL PALM ST
LAKE PLACID, FL
ZIP 33852
Phone: (863) 659-1780
Fax: (863) 659-1786

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 10D2210008
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 01-18-2027

About HEARTLAND PHARMACY LAKE PLACID INC

This page provides the complete NPI Profile along with additional information for Heartland Pharmacy Lake Placid Inc, a provider established in Lake Placid, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1063958437 assigned on January 2017. The practitioner's primary taxonomy code is 332B00000X with license number PH26570 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Carin Duncan Bralts Pharmd (President)

NPI
1063958437
Provider Name
HEARTLAND PHARMACY LAKE PLACID INC
Entity Type
Organization
Location Address
342 E ROYAL PALM ST LAKE PLACID, FL 33852
Location Phone
(863) 659-1780
Location Fax
(863) 659-1786
Mailing Address
342 E ROYAL PALM ST LAKE PLACID, FL 33852
Mailing Phone
(863) 659-1780
Mailing Fax
(863) 659-1786
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2017
Last Update Date
01-10-2017
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
PH26570
License State
FL
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

CARIN DUNCAN BRALTS PHARMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(863) 449-1006

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
008053901MEDICAID (05)FL 
6840910001MEDICARE NSC (07)FL 

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
10D2210008
Facility Type
Pharmacy
Certificate Effective Date
January 19, 2025
Certificate Expiration Date
January 18, 2027
Laboratory Director
CARIN BRALTS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Heartland Pharmacy Lake Placid Inc 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 1063958437, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 9 → 18 → 9 8 → 16 → 7 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 + 2 + 3 + 1 + 8 + 5 + 1 + 6 + 4 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1063958437.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pharmacist
342 E ROYAL PALM ST
LAKE PLACID, FL 33852
Pharmacy (Community/Retail Pharmacy)
342 E ROYAL PALM ST
LAKE PLACID, FL 33852
Pharmacy (Long Term Care Pharmacy)
342 E ROYAL PALM ST
LAKE PLACID, FL 33852

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063958437, enumerated as an "organization" on January 10, 2017.

The provider is located at 342 E ROYAL PALM ST LAKE PLACID, FL 33852 and the phone number is (863) 659-1780.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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