SOUTHERN ILLINOIS UNIVERSITY STUDENT
NPI 1124064035
Pharmacy - Institutional Pharmacy in Carbondale, IL

NPI Status: Active since June 20, 2006

Contact Information

374 E GRAND AVE
CARBONDALE, IL
ZIP 62901
Phone: (618) 453-4417
Fax: (618) 453-4672

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  • Organization
  • Pharmacy
  • Institutional Pharmacy

About SOUTHERN ILLINOIS UNIVERSITY STUDENT

This page provides the complete NPI Profile along with additional information for Southern Illinois University Student, a provider established in Carbondale, Illinois operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1124064035 assigned on June 2006. The practitioner's primary taxonomy code is 3336I0012X with license number 054.017089 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Southern Illinois University Student. The authorized official of this NPI record is Susan Chaney Rph (Pharmacy Director)

NPI
1124064035
Provider Legal Name
SOUTHERN ILLINOIS UNIVERSITY STUDENT
Other Organization Name
SOUTHERN ILLINOIS UNIVERSITY STUDENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
374 E GRAND AVE CARBONDALE, IL 62901
Location Phone
(618) 453-4417
Location Fax
(618) 453-4672
Mailing Address
374 E GRAND AVE CARBONDALE, IL 62901
Mailing Phone
(618) 453-4417
Mailing Fax
(618) 453-4672
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2006
Last Update Date
04-11-2016
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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 Institutional Pharmacy

Taxonomy Code
3336I0012X
Type
Suppliers
License No.
054.017089
License State
IL
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.

Insurance Plans Accepted

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

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

SUSAN CHANEY RPH

Authorized Official Title
PHARMACY DIRECTOR
Authorized Official Phone
(618) 453-4417

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
2016773OTHER (01)PK

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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 1124064035, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 2 → 4 0 → 0 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 0 + 6 + 8 + 0 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1124064035.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Physician Assistant
374 E GRAND AVE, STUDENT HEALTH CENTER MAILCODE 6740
CARBONDALE, IL 62901
Dentist (General Practice)
374 E GRAND AVE, STUDENT HEALTH CENTER SIUC
CARBONDALE, IL 62901
Dentist (General Practice)
374 E GRAND AVE, STUDENT HEALTH CENTER SIVC
CARBONDALE, IL 62901
Psychologist (Counseling)
374 E GRAND AVE, COUNSELING CENTER, MAIL CODE 4715, SIU
CARBONDALE, IL 62901
Physical Therapy Assistant
374 E GRAND AVE
CARBONDALE, IL 62901
Pharmacist (Ambulatory Care)
374 E GRAND AVE
CARBONDALE, IL 62901
Psychologist (Clinical)
374 E GRAND AVE
CARBONDALE, IL 62901
Physical Therapy Assistant
374 E GRAND AVE
CARBONDALE, IL 62901
Physical Therapy Assistant
374 E GRAND AVE
CARBONDALE, IL 62901
Psychologist (Clinical)
374 E GRAND AVE
CARBONDALE, IL 62901
Physical Therapist
374 E GRAND AVE
CARBONDALE, IL 62901
Psychologist (Counseling)
374 E GRAND AVE
CARBONDALE, IL 62901
Case Manager/Care Coordinator
374 E GRAND AVE
CARBONDALE, IL 62901
Nurse Practitioner
374 E GRAND AVE
CARBONDALE, IL 62901
Internal Medicine
374 E GRAND AVE, SW STUDENT HEALTH CENTER MAILCODE 6740
CARBONDALE, IL 62901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124064035, enumerated as an "organization" on June 20, 2006.

The provider is located at 374 E GRAND AVE CARBONDALE, IL 62901 and the phone number is (618) 453-4417.

Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.