BLOOD AND CANCER CLINIC, PA
NPI 1174747711
Non-Pharmacy Dispensing Site in Fayetteville, NC

NPI Status: Active since April 13, 2007

Contact Information

2125 VALLEYGATE DR
SUITE 101
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 483-8586
Fax: (910) 483-9212

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  • Organization
  • Non-Pharmacy Dispensing Site

About BLOOD AND CANCER CLINIC, PA

This page provides the complete NPI Profile along with additional information for Blood And Cancer Clinic, Pa, a provider established in Fayetteville, North Carolina operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1174747711 assigned on April 2007. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Shirish D Devasthali Md (President)

NPI
1174747711
Provider Name
BLOOD AND CANCER CLINIC, PA
Entity Type
Organization
Location Address
2125 VALLEYGATE DR SUITE 101 FAYETTEVILLE, NC 28304
Location Phone
(910) 483-8586
Location Fax
(910) 483-9212
Mailing Address
PO BOX 53095 FAYETTEVILLE, NC 28305
Mailing Phone
(910) 483-8586
Mailing Fax
(910) 483-9212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2007
Last Update Date
08-22-2020
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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
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.)

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

DR. SHIRISH D DEVASTHALI MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(910) 483-8586

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
02699OTHER (01)NCBOARD OF PHARMACY
3400936OTHER (01)NCNCPDP NUMBER
38929OTHER (01)NCLICENSE NUMBER
02701OTHER (01)NCBOARD OF PHARMACY

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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 1174747711, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 7 → 14 → 5 7 → 14 → 5 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 + 1 + 4 + 4 + 1 + 4 + 4 + 1 + 4 + 7 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1174747711.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Physical Therapist
2125 VALLEYGATE DR, SUITE 101
FAYETTEVILLE, NC 28304
Internal Medicine (Rheumatology)
2125 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Allergy & Immunology
2125 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Physical Therapist
2125 VALLEYGATE DR, SUITE 101-A
FAYETTEVILLE, NC 28304
Nurse Practitioner
2125 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Physician Assistant (Medical)
2125 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Internal Medicine (Rheumatology)
2125 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174747711, enumerated as an "organization" on April 13, 2007.

The provider is located at 2125 VALLEYGATE DR SUITE 101 FAYETTEVILLE, NC 28304 and the phone number is (910) 483-8586.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

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