BRIDGEPORT PHARMACY INC
NPI 1114917242
Pharmacist in Bridgeport, MI

NPI Status: Active since October 28, 2005

Contact Information

6224 DIXIE HWY
BRIDGEPORT, MI
ZIP 48722
Phone: (989) 777-2900
Fax: (989) 777-4649

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  • Organization
  • Pharmacist
  • Accepts Insurance

About BRIDGEPORT PHARMACY INC

This page provides the complete NPI Profile along with additional information for Bridgeport Pharmacy Inc, a provider established in Bridgeport, Michigan operating as a Pharmacist. The healthcare provider is registered in the NPI registry with number 1114917242 assigned on October 2005. The practitioner's primary taxonomy code is 183500000X with license number 5302025343 (MI). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Raymond William Boettcher Jr. (Registered Pharmacist/in Charge)

NPI
1114917242
Provider Name
BRIDGEPORT PHARMACY INC
Entity Type
Organization
Location Address
6224 DIXIE HWY BRIDGEPORT, MI 48722
Location Phone
(989) 777-2900
Location Fax
(989) 777-4649
Mailing Address
6224 DIXIE HWY BRIDGEPORT, MI 48722
Mailing Phone
(989) 777-2900
Mailing Fax
(989) 777-4649
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2005
Last Update Date
02-29-2008
Code Navigator

A pharmacist like Bridgeport Pharmacy Inc fills prescription medications, verifying instructions from physicians and offers expertise in the safe use of prescriptions. Pharmacists instruct patients on how to take a prescribed medicine and educate patients about potential side effects. Pharmacists might also conduct health and wellness screenings, provide immunizations, oversee the medications given to patients, and provide advice on healthy lifestyles.

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

Pharmacist

Taxonomy Code
183500000X
Type
Pharmacy Service Providers
License No.
5302025343
License State
MI
Taxonomy Description
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. RAYMOND WILLIAM BOETTCHER JR.

Authorized Official Title
REGISTERED PHARMACIST/IN CHARGE
Authorized Official Phone
(989) 777-2900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1300560001MEDICARE NSC (07)MI 
2359998MEDICAID (05)MI 

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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 1114917242, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
2
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 1 → 2 9 → 18 → 9 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 + 1 + 2 + 4 + 1 + 8 + 1 + 1 + 4 + 2 + 8 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1114917242.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
6224 DIXIE HWY
BRIDGEPORT, MI 48722
Pharmacist
6224 DIXIE HWY
BRIDGEPORT, MI 48722
Pharmacist
6224 DIXIE HWY
BRIDGEPORT, MI 48722
Pharmacy
6224 DIXIE HWY
BRIDGEPORT, MI 48722
Pharmacy (Long Term Care Pharmacy)
6224 DIXIE HWY
BRIDGEPORT, MI 48722

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114917242, enumerated as an "organization" on October 28, 2005.

The provider is located at 6224 DIXIE HWY BRIDGEPORT, MI 48722 and the phone number is (989) 777-2900.

Pharmacist with taxonomy code 183500000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.