THIRTEENTH AVENUE PHARMACY
NPI 1255474102
Pharmacy - Community/Retail Pharmacy in Laurel, MS

NPI Status: Active since February 14, 2007

Contact Information

216 S 13TH AVE
LAUREL, MS
ZIP 39440
Phone: (601) 428-7257
Fax: (601) 428-0074

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About THIRTEENTH AVENUE PHARMACY

This page provides the complete NPI Profile along with additional information for Thirteenth Avenue Pharmacy, a provider established in Laurel, Mississippi operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1255474102 assigned on February 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 01527 01.1 (MS). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Kyle Aaron Mauldin (Pharmacist Owener)

NPI
1255474102
Provider Name
THIRTEENTH AVENUE PHARMACY
Entity Type
Organization
Location Address
216 S 13TH AVE LAUREL, MS 39440
Location Phone
(601) 428-7257
Location Fax
(601) 428-0074
Mailing Address
216 S 13TH AVE LAUREL, MS 39440
Mailing Phone
(601) 428-7257
Mailing Fax
(601) 428-0074
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2007
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

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
01527 01.1
License State
MS
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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.

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

KYLE AARON MAULDIN

Authorized Official Title
PHARMACIST OWENER
Authorized Official Phone
(601) 428-7257

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255474102
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210587810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 8 + 7 + 8 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1255474102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

KYLE AARON MAULDIN

Pharmacist

216 S 13TH AVE
LAUREL, MS
ZIP 39440

(601) 428-7257

THIRTEENTH AVENUE PHARMACY

Pharmacy

(Community/Retail Pharmacy)

216 S 13TH AVE
LAUREL, MS
ZIP 39440

(601) 428-7257

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255474102, enumerated as an "organization" on February 14, 2007.

The provider is located at 216 S 13TH AVE LAUREL, MS 39440 and the phone number is (601) 428-7257.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.