MAMMOTH HOSPITAL
NPI 1114353323
Pharmacy - Institutional Pharmacy in Mammoth Lakes, CA
NPI Status: Active since September 19, 2013
Contact Information
85 SIERRA PARK RD
MAMMOTH LAKES, CA
ZIP 93546
Phone: (760) 924-4143
Fax: (760) 924-4033
- Organization
- Pharmacy
- Institutional Pharmacy
- CLIA Number: 05D0588097
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 07-20-2027
About MAMMOTH HOSPITAL
This page provides the complete NPI Profile along with additional information for Mammoth Hospital, a provider established in Mammoth Lakes, California operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1114353323 assigned on September 2013. The practitioner's primary taxonomy code is 3336I0012X with license number HPE 40421 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Mammoth Hospital. The authorized official of this NPI record is Gary Myers (Ceo)
- NPI
- 1114353323
- Provider Legal Name
- SOUTHERN MONO HEALTHCARE DISTRICT
- Other Organization Name
- MAMMOTH HOSPITAL
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 85 SIERRA PARK RD MAMMOTH LAKES, CA 93546
- Location Phone
- (760) 924-4143
- Location Fax
- (760) 924-4033
- Mailing Address
- PO BOX 660 MAMMOTH LAKES, CA 93546
- Mailing Phone
- (760) 924-4143
- Mailing Fax
- (760) 924-4033
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-19-2013
- Last Update Date
- 01-13-2021
- 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 Institutional Pharmacy
- Taxonomy Code
- 3336I0012X
- Type
- Suppliers
- License No.
- HPE 40421
- License State
- CA
- Taxonomy Description
- A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.
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
- 05D0588097
- Facility Type
- Hospital
- Certificate Effective Date
- July 21, 2025
- Certificate Expiration Date
- July 20, 2027
- Laboratory Director
- DR. JOHN A. PAYTON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Mammoth Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1114353323, 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 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 57 is 60. 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.
MAMMOTH LAKES, CA 93546
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114353323, enumerated as an "organization" on September 19, 2013.
The provider is located at 85 SIERRA PARK RD MAMMOTH LAKES, CA 93546 and the phone number is (760) 924-4143.
Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.
