KEAVENY LTC PHARMACY #210
NPI 1164653317
Pharmacy - Long Term Care Pharmacy in Cokato, MN

NPI Status: Active since August 06, 2009

Contact Information

201 BROADWAY AVE S
COKATO, MN
ZIP 55321
Phone: (320) 286-5129
Fax: (320) 286-5434

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy

About KEAVENY LTC PHARMACY #210

This page provides the complete NPI Profile along with additional information for Keaveny Ltc Pharmacy #210, a provider established in Cokato, Minnesota operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1164653317 assigned on August 2009. The practitioner's primary taxonomy code is 3336L0003X with license number 263430 (MN). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Keaveny Ltc Pharmacy #210. The authorized official of this NPI record is Deborah Keaveny (Preident)

NPI
1164653317
Provider Legal Name
MINNESOTA DRUG ACQUISITION CO LLC
Other Organization Name
KEAVENY LTC PHARMACY #210
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
201 BROADWAY AVE S COKATO, MN 55321
Location Phone
(320) 286-5129
Location Fax
(320) 286-5434
Mailing Address
PO BOX 550 COKATO, MN 55321
Mailing Phone
(320) 286-5129
Mailing Fax
(320) 286-5434
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2009
Last Update Date
03-14-2013
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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 Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
License No.
263430
License State
MN
Taxonomy Description
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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

DEBORAH KEAVENY

Authorized Official Title
PREIDENT
Authorized Official Phone
(612) 227-7811

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
2429858OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER
116453317MEDICAID (05)MN 
6255420011MEDICARE NSC (07) 

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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 1164653317, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
7
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 6 → 12 → 3 6 → 12 → 3 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 2 + 5 + 6 + 3 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1164653317.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164653317, enumerated as an "organization" on August 06, 2009.

The provider is located at 201 BROADWAY AVE S COKATO, MN 55321 and the phone number is (320) 286-5129.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

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