NEWBERN DRUG HEALTHMART
NPI 1083107205
Durable Medical Equipment & Medical Supplies in Newbern, TN

NPI Status: Active since June 12, 2018

Contact Information

625 W MAIN ST.
SUITE A.
NEWBERN, TN
ZIP 38059
Phone: (731) 627-9573
Fax: (731) 627-3051

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment
  • CLIA Number: 44D2151966
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 07-30-2026

About NEWBERN DRUG HEALTHMART

This page provides the complete NPI Profile along with additional information for Newbern Drug Healthmart, a provider established in Newbern, Tennessee operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1083107205 assigned on June 2018. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Newbern Drug Healthmart. The authorized official of this NPI record is Mr. Mark Anthony Davis Pharm D (Owner)

NPI
1083107205
Provider Legal Name
MA DAVIS ENTERPRISES, LLC
Other Organization Name
NEWBERN DRUG HEALTHMART
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
625 W MAIN ST. SUITE A. NEWBERN, TN 38059
Location Phone
(731) 627-9573
Location Fax
(731) 627-3051
Mailing Address
625 W MAIN ST SUITE A NEWBERN, TN 38059
Mailing Phone
(731) 627-9573
Mailing Fax
(731) 627-3051
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-12-2018
Last Update Date
06-12-2018
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Newbern Drug Healthmart is a medicare supplier with PTAN 20455877 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.

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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License State
TN
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.

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

MR. MARK ANTHONY DAVIS PHARM D

Authorized Official Title
OWNER
Authorized Official Phone
(731) 589-0206

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 108 times for 107 patients

Administration of pneumococcal vaccine

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

This service was performed 22 times for 22 patients

Influenza vaccine, quadrivalent derived from cell cultures

The quadrivalent influenza vaccine, derived from cell cultures, is a flu shot that protects against four different flu viruses. It's made in labs using cell cultures instead of eggs, making it a good option for those with egg allergies. It's a crucial tool in preventing the flu.

This service was performed 107 times for 106 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

This service was performed 20 times for 20 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20455877
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs

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
44D2151966
Facility Type
Pharmacy
Certificate Effective Date
July 31, 2024
Certificate Expiration Date
July 30, 2026
Laboratory Director
MARK A. DAVIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Newbern Drug Healthmart 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 1083107205, 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 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
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
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 8 → 16 → 7 1 → 2 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 6 + 3 + 2 + 0 + 1 + 4 + 2 + 0 + 24 = 45

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

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1083107205.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
625 W MAIN ST., SUITE A
NEWBERN, TN 38059

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083107205, enumerated as an "organization" on June 12, 2018.

The provider is located at 625 W MAIN ST. SUITE A. NEWBERN, TN 38059 and the phone number is (731) 627-9573.

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