WAGNER'S MOUNT IDA PHARMACY
NPI 1215187455
Pharmacy - Long Term Care Pharmacy in Mount Ida, AR

NPI Status: Active since September 24, 2008

Contact Information

744 HIGHWAY 270 E
MOUNT IDA, AR
ZIP 71957
Phone: (870) 867-3174
Fax: (870) 867-2033

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy

About WAGNER'S MOUNT IDA PHARMACY

This page provides the complete NPI Profile along with additional information for Wagner's Mount Ida Pharmacy, a provider established in Mount Ida, Arkansas operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1215187455 assigned on September 2008. The practitioner's primary taxonomy code is 3336L0003X with license number AR15934 (AR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Wagner's Mount Ida Pharmacy. The authorized official of this NPI record is Laura Wagner (Owner)

NPI
1215187455
Provider Legal Name
WAGNER DRUGS INC
Other Organization Name
WAGNER'S MOUNT IDA PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
744 HIGHWAY 270 E MOUNT IDA, AR 71957
Location Phone
(870) 867-3174
Location Fax
(870) 867-2033
Mailing Address
PO BOX 66 MOUNT IDA, AR 71957
Mailing Phone
(870) 867-3174
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-24-2008
Last Update Date
06-01-2016
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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 Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
License No.
AR15934
License State
AR
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 

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

LAURA WAGNER

Authorized Official Title
OWNER
Authorized Official Phone
(870) 867-2812

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
2159831OTHER (01)PK
168721407MEDICAID (05)AR 

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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 1215187455, 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
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 1 → 2 1 → 2 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 2 + 8 + 1 + 4 + 4 + 1 + 0 + 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 1215187455.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
744 HIGHWAY 270 E
MOUNT IDA, AR 71957

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215187455, enumerated as an "organization" on September 24, 2008.

The provider is located at 744 HIGHWAY 270 E MOUNT IDA, AR 71957 and the phone number is (870) 867-3174.

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.