FT WAYNE MED ONCOLOGY AND HEMATOLOGY
NPI 1215066949
Pharmacy - Clinic Pharmacy in Fort Wayne, IN

NPI Status: Active since March 06, 2007

Contact Information

4402 E STATE BLVD
FORT WAYNE, IN
ZIP 46815
Phone: (260) 969-7846
Fax: (260) 483-1734

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  • Organization
  • Pharmacy
  • Clinic Pharmacy

About FT WAYNE MED ONCOLOGY AND HEMATOLOGY

This page provides the complete NPI Profile along with additional information for Ft Wayne Med Oncology And Hematology, a provider established in Fort Wayne, Indiana operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1215066949 assigned on March 2007. The practitioner's primary taxonomy code is 3336C0002X with license number 60005894A (IN). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Ft Wayne Med Oncology And Hematology. The authorized official of this NPI record is Tracy Maravilla Pharmd (Pharmacy Director)

NPI
1215066949
Provider Legal Name
FORT WAYNE MEDICAL ONCOLOGY & HEMAT
Other Organization Name
FT WAYNE MED ONCOLOGY AND HEMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4402 E STATE BLVD FORT WAYNE, IN 46815
Location Phone
(260) 969-7846
Location Fax
(260) 483-1734
Mailing Address
PO BOX 15099 FORT WAYNE, IN 46885
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2007
Last Update Date
05-03-2010
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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 Clinic Pharmacy

Taxonomy Code
3336C0002X
Type
Suppliers
License No.
60005894A
License State
IN
Taxonomy Description
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

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

TRACY MARAVILLA PHARMD

Authorized Official Title
PHARMACY DIRECTOR
Authorized Official Phone
(260) 484-9660

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
5547740001MEDICARE NSC (07) 
1560247OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER
200544860AMEDICAID (05)IN 

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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 1215066949, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
9
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 0 → 0 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 0 + 6 + 1 + 2 + 9 + 8 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1215066949.

Other Providers at the Same Location


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

Registered Nurse (General Practice)
4402 E STATE BLVD
FORT WAYNE, IN 46815
Pharmacist
4402 E STATE BLVD
FT WAYNE, IN 46815
Family Medicine
4402 E STATE BLVD
FORT WAYNE, IN 46815
Family Medicine
4402 E STATE BLVD
FORT WAYNE, IN 46815
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4402 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner
4402 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner
4402 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner
4402 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner
4402 E STATE BLVD
FORT WAYNE, IN 46815
Social Worker (Clinical)
4402 E STATE BLVD
FORT WAYNE, IN 46815
Nurse Practitioner
4402 E STATE BLVD
FORT WAYNE, IN 46815
Internal Medicine
4402 E STATE BLVD
FORT WAYNE, IN 46815
Social Worker (Clinical)
4402 E STATE BLVD
FORT WAYNE, IN 46815
Internal Medicine
4402 E STATE BLVD
FORT WAYNE, IN 46815
Registered Nurse (Gerontology)
4402 E STATE BLVD
FORT WAYNE, IN 46815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215066949, enumerated as an "organization" on March 06, 2007.

The provider is located at 4402 E STATE BLVD FORT WAYNE, IN 46815 and the phone number is (260) 969-7846.

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.

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