MEDPLUS PHARMACY 3
NPI 1104485473
Pharmacy in Pasadena, TX
NPI Status: Active since June 11, 2019
Contact Information
5150 CRENSHAW RD STE 9
PASADENA, TX
ZIP 77505
Phone: (281) 800-8480
- Organization
- Pharmacy
- CLIA Number: 45D2226238
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 05-26-2025
About MEDPLUS PHARMACY 3
This page provides the complete NPI Profile along with additional information for Medplus Pharmacy 3, a provider established in Pasadena, Texas operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1104485473 assigned on June 2019. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Hussam Al-atat (Co-owner)
- NPI
- 1104485473
- Provider Name
- MEDPLUS PHARMACY 3
- Entity Type
- Organization
- Location Address
- 5150 CRENSHAW RD STE 9 PASADENA, TX 77505
- Location Phone
- (281) 800-8480
- Mailing Address
- 8609 SUDLEY RD STE 103B MANASSAS, VA 20110
- Mailing Phone
- (281) 800-8480
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2019
- Last Update Date
- 06-11-2019
- Code Navigator
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
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- Taxonomy Description
- A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 2 | 3336S0011X | Suppliers | Pharmacy |
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
- 45D2226238
- Facility Type
- Pharmacy
- Certificate Effective Date
- May 27, 2023
- Certificate Expiration Date
- May 26, 2025
- Laboratory Director
- SALY IBRAHIM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medplus Pharmacy 3 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 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. | |||||||||
| 1 | 1 | 0 | 4 | 4 | 8 | 5 | 4 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 8 | 8 | 10 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 8 + 8 + 1 + 0 + 4 + 1 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1104485473 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104485473, enumerated as an "organization" on June 11, 2019.
The provider is located at 5150 CRENSHAW RD STE 9 PASADENA, TX 77505 and the phone number is (281) 800-8480.
Pharmacy with taxonomy code 333600000X.
