PBJ MEDICAL RX LLC
NPI 1093597544
Pharmacy - Community/Retail Pharmacy in Orlando, FL

NPI Status: Active since October 19, 2023

Contact Information

7380 W SAND LAKE RD
ORLANDO, FL
ZIP 32819
Phone: (800) 485-7962

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • CLIA Number: 10D2257076
  • CLIA Cert. Type: Other - COMMUNITY TESTER / MULT
  • CLIA Exp. Date: 03-30-2026

About PBJ MEDICAL RX LLC

This page provides the complete NPI Profile along with additional information for Pbj Medical Rx Llc, a provider established in Orlando, Florida operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1093597544 assigned on October 2023. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated one year ago. Pbj Medical Rx Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Dr. Dwayne Jones Sr. Pharmacist (Operation Manager)

NPI
1093597544
Provider Legal Name
PBJ MEDICAL RX LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
7380 W SAND LAKE RD ORLANDO, FL 32819
Location Phone
(800) 485-7962
Mailing Address
7380 W SAND LAKE RD STE 500 ORLANDO, FL 32819
Mailing Phone
(800) 485-7962
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2023
Last Update Date
02-13-2025
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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 Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11835P0018XPharmacy Service Providers

Pharmacist
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. DWAYNE JONES SR. PHARMACIST

Authorized Official Title
OPERATION MANAGER
Authorized Official Phone
(800) 485-7962

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
10D2257076
Facility Type
Other - COMMUNITY TESTER / MULT
Certificate Effective Date
March 31, 2024
Certificate Expiration Date
March 30, 2026
Laboratory Director
KEVIN PRUITT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pbj Medical Rx Llc 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 1093597544, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
4
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 9 → 18 → 9 5 → 10 → 1 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 0 + 9 + 1 + 4 + 5 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1093597544.

Other Providers at the Same Location


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

Occupational Therapy Assistant
7380 W SAND LAKE RD
ORLANDO, FL 32819
Clinic/Center
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Specialist/Technologist (Speech-Language Assistant)
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Physical Therapy Assistant
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Occupational Therapist (Pediatrics)
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Physical Therapist (Pediatrics)
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Occupational Therapy Assistant
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Counselor (Mental Health)
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Speech-Language Pathologist
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Occupational Therapist
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Occupational Therapist
7380 W SAND LAKE RD, SUITE 513
ORLANDO, FL 32819
Home Health
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Speech-Language Pathologist
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Speech-Language Pathologist
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Speech-Language Pathologist
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Physical Therapy Assistant
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Occupational Therapist
7380 W SAND LAKE RD
ORLANDO, FL 32819
Clinic/Center (Developmental Disabilities)
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Speech-Language Pathologist
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819
Occupational Therapist
7380 W SAND LAKE RD, SUITE 500
ORLANDO, FL 32819

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093597544, enumerated as an "organization" on October 19, 2023.

The provider is located at 7380 W SAND LAKE RD ORLANDO, FL 32819 and the phone number is (800) 485-7962.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.