ADAMS MEMORIAL HOSPITAL PHARMACY NPI 1073691531

Pharmacy - Institutional Pharmacy in Decatur, IN

Organization Pharmacy Institutional Pharmacy CLIA Number 15D0035002 CLIA Certificate of Accreditation

About ADAMS MEMORIAL HOSPITAL PHARMACY

Adams Memorial Hospital Pharmacy is a provider established in Decatur, Indiana specializing in Pharmacy with a focus in institutional pharmacy . The NPI number of Adams Memorial Hospital Pharmacy is 1073691531 and was assigned on November 2006. The practitioner's primary taxonomy code is 3336I0012X with license number 60002071A (IN). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Adams Memorial Hospital Pharmacy. The authorized official of this NPI record is Mr. Dane E Wheeler (Cfo)

The CLIA number of Adams Memorial Hospital Pharmacy is 15D0035002 registered as a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to Adams Memorial Hospital Pharmacy on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

NPI

1073691531

Provider NameADAMS MEMORIAL HOSPITAL PHARMACY
Provider Location Address1100 MERCER AVE DECATUR, IN 46733
Provider Mailing Address1100 MERCER AVE DECATUR, IN 46733
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameADAMS MEMORIAL HOSPITAL PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date11-01-2006
Last Update Date04-03-2013


Primary Taxonomy

Taxonomy Code3336I0012X
ClassificationPharmacy
TypeSuppliers
SpecializationInstitutional Pharmacy
License No.60002071A
License StateIN
Taxonomy DescriptionA 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.

Business Address

ADAMS MEMORIAL HOSPITAL PHARMACY
1100 MERCER AVE
DECATUR, IN
ZIP 46733
Phone: (260) 724-2145
Fax: (260) 728-3855

Get Directions


Mailing Address

ADAMS MEMORIAL HOSPITAL PHARMACY
1100 MERCER AVE
DECATUR, IN
ZIP 46733
Phone: (260) 724-2145
Fax: (260) 728-3855


Authorized Official

Authorized Official NameMR. DANE E WHEELER
Authorized Official TitleCFO
Authorized Official Phone(260) 724-2145

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 the NPI number 1073691531 is:

CLIA Number15D0035002
Facility TypeHOSPITAL
Certificate TypeCertificate of Accreditation

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1282NC0060XHospitalsGeneral Acute Care HospitalCritical Access60002071AINNo

Taxonomy Description: definition to come.

23336L0003XSuppliersPharmacyLong Term Care Pharmacy60002071AINNo

Taxonomy Description: a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AA8424474OTHER (01)DEA
100338640AMEDICAID (05)IN
1516600OTHER (01)NABP/NCPDP
151330MEDICARE OSCAR/CERTIFICATION (06)IN

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073691531
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143129256
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 2 + 9 + 2 + 5 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1073691531 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1710989710 HAVEN DOVE CRNA
Individual
Nurse Anesthetist, Certified Registered1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1679612006 DAVID A COATS MD
Individual
Orthopaedic Surgery1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1891830345DR. NICHOLAS W LAZOFF M.D.
Individual
Emergency Medicine1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1427183169 SCOTT T SMITH MD
Individual
Emergency Medicine1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1396871299ADAMS COUNTY MEMORIAL HOSPITAL
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1881726263ADAMS MEMORIAL HOSPITAL
Organization
General Acute Care Hospital (Rural)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1124152301 MICHAEL KEVIN KOBS CRNA
Individual
Nurse Anesthetist, Certified Registered1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1235353483DR. DARVIN KEITH SUTER
Individual
Preventive Medicine (Occupational Medicine)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1003018094MRS. MARY ANN WEBB PT
Individual
Physical Therapist1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1467619650MRS. EMILY JEAN SOVINE MA CCC-SLP
Individual
Speech-Language Pathologist1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1558596478 ANN MARIE GEIMER N.P.
Individual
Nurse Practitioner1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1508092156 ERIN M WHITMAN PA-C
Individual
Physician Assistant (Surgical)1100 MERCER AVE
DECATUR, IN 46733
(260) 728-3900
1992081327 TIM E HIRSCHY LCSW
Individual
Social Worker (Clinical)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1316223498 MARY LOU SCHEUMANN LCSW
Individual
Social Worker (Clinical)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1730466236 CARRIE ANN BINEGAR LMHC
Individual
Counselor (Mental Health)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1063763282DR. JOHN ALLEN GIBSON PH.D.
Individual
Registered Nurse (Psychiatric/Mental Health)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1962630426 KATHLEEN A. HEIMANN D.O.
Individual
Family Medicine1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1467868174P & R HOME IV SERVICE, INC.
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)1100 MERCER AVE SUITE A122
DECATUR, IN 46733
(800) 587-7670
1699740191DR. DAVID SCOTT COLCLASURE M.D.
Individual
Anesthesiology1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145
1508254392 REBECCA KAY WERST ATC,LAT
Individual
Specialist/Technologist (Athletic Trainer)1100 MERCER AVE
DECATUR, IN 46733
(260) 724-2145

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Adams Memorial Hospital Pharmacy is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.