RMC PHARMACY BROCKTON
NPI 1093405003
Pharmacy - Clinic Pharmacy in Riverside, CA
NPI Status: Active since May 11, 2023
Contact Information
7117 BROCKTON AVE
RIVERSIDE, CA
ZIP 92506
Phone: (951) 638-0180
Fax: (951) 637-0183
- Organization
- Pharmacy
- Clinic Pharmacy
- CLIA Number: 05D2296514
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 12-28-2025
About RMC PHARMACY BROCKTON
This page provides the complete NPI Profile along with additional information for Rmc Pharmacy Brockton, a provider established in Riverside, California operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1093405003 assigned on May 2023. The practitioner's primary taxonomy code is 3336C0002X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Rmc Pharmacy Brockton. The authorized official of this NPI record is Ramesh Upadhyayula Rph (President/ceo)
- NPI
- 1093405003
- Provider Legal Name
- EL MIRADOR MEDICAL PLAZA PHARMACY INC
- Other Organization Name
- RMC PHARMACY BROCKTON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7117 BROCKTON AVE RIVERSIDE, CA 92506
- Location Phone
- (951) 638-0180
- Location Fax
- (951) 637-0183
- Mailing Address
- 3975 JACKSON ST STE 109 RIVERSIDE, CA 92503
- Mailing Phone
- (951) 637-0180
- Mailing Fax
- (951) 637-0183
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-11-2023
- Last Update Date
- 05-15-2023
- Code Navigator
Location Map
Secondary Locations
- 6405 Day St
Riverside, CA 92507
(951) 637-0180
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 Clinic Pharmacy
- Taxonomy Code
- 3336C0002X
- Type
- Suppliers
- Taxonomy Description
- A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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
- 05D2296514
- Facility Type
- Pharmacy
- Certificate Effective Date
- December 29, 2023
- Certificate Expiration Date
- December 28, 2025
- Laboratory Director
- IN SANG HWANG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Rmc Pharmacy Brockton 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 1093405003, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
RIVERSIDE, CA 92506
RIVERSIDE, CA 92506
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093405003, enumerated as an "organization" on May 11, 2023.
The provider is located at 7117 BROCKTON AVE RIVERSIDE, CA 92506 and the phone number is (951) 638-0180.
Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.
