PENNCARE-J. EDWIN WOOD CLINIC
NPI 1104967918
Non-Pharmacy Dispensing Site in Philadelphia, PA

NPI Status: Active since February 12, 2007

Contact Information

700 SPRUCE ST
304
PHILADELPHIA, PA
ZIP 19106
Phone: (215) 829-3532

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  • Organization
  • Non-Pharmacy Dispensing Site

About PENNCARE-J. EDWIN WOOD CLINIC

This page provides the complete NPI Profile along with additional information for Penncare-j. Edwin Wood Clinic, a provider established in Philadelphia, Pennsylvania operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1104967918 assigned on February 2007. The practitioner's primary taxonomy code is 332900000X with license number OS012672 (PA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Kenny Heine (Director Of Operations)

NPI
1104967918
Provider Name
PENNCARE-J. EDWIN WOOD CLINIC
Entity Type
Organization
Location Address
700 SPRUCE ST 304 PHILADELPHIA, PA 19106
Location Phone
(215) 829-3532
Mailing Address
5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-12-2007
Last Update Date
12-04-2012
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
OS012672
License State
PA
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

KENNY HEINE

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(858) 625-2990

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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 1104967918, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
8
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 0 → 0 9 → 18 → 9 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 8 + 6 + 1 + 4 + 9 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1104967918.

Other Providers at the Same Location


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

Ophthalmology
700 SPRUCE ST, SUITE 100
PHILADELPHIA, PA 19106
Internal Medicine (Pulmonary Disease)
700 SPRUCE ST
PHILADELPHIA, PA 19106
Advanced Practice Midwife
700 SPRUCE ST, STE 305
PHILADELPHIA, PA 19106
Obstetrics & Gynecology
700 SPRUCE ST, SUITE 200
PHILADELPHIA, PA 19106
Nurse Practitioner (Adult Health)
700 SPRUCE ST, SUITE 304
PHILA, PA 19106
Ophthalmology
700 SPRUCE ST, SUITE 100
PHILADELPHIA, PA 19106
Clinic/Center (Family Planning, Non-Surgical)
700 SPRUCE ST, SUITE 200
PHILADELPHIA, PA 19106
Surgery (Vascular Surgery)
700 SPRUCE ST, STE 101
PHILADELPHIA, PA 19106
Surgery (Vascular Surgery)
700 SPRUCE ST, STE 101
PHILADELPHIA, PA 19106
Obstetrics & Gynecology
700 SPRUCE ST, SUITE 305
PHILADELPHIA, PA 19106
Internal Medicine
700 SPRUCE ST, SUITE 304
PHILADELPHIA, PA 19106
Nurse Practitioner (Critical Care Medicine)
700 SPRUCE ST, STE. 304
PHILADELPHIA, PA 19106
Internal Medicine
700 SPRUCE ST, SUITE 304
PHILADELPHIA, PA 19106
Nurse Practitioner (Acute Care)
700 SPRUCE ST, STE. 507
PHILADELPHIA, PA 19106
Nurse Practitioner (Family)
700 SPRUCE ST, STE. 304
PHILADELPHIA, PA 19106
Surgery (Vascular Surgery)
700 SPRUCE ST, SUITE 101
PHILADELPHIA, PA 19106
Nurse Practitioner (Adult Health)
700 SPRUCE ST, SUITE 305
PHILADELPHIA, PA 19106
Nurse Practitioner (Women's Health)
700 SPRUCE ST, SUIT 200
PHILADELPHIA, PA 19106
Pharmacist (Ambulatory Care)
700 SPRUCE ST, SUITE 304
PHILADELPHIA, PA 19106
Physician Assistant (Medical)
700 SPRUCE ST, PINE BASEMENT WEST
PHILADELPHIA, PA 19106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104967918, enumerated as an "organization" on February 12, 2007.

The provider is located at 700 SPRUCE ST 304 PHILADELPHIA, PA 19106 and the phone number is (215) 829-3532.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.