MARVELL CLINIC PHARMACY, INC. NPI 1295752376
Pharmacy in Marvel, AR
About MARVELL CLINIC PHARMACY, INC.
Marvell Clinic Pharmacy, Inc. is a provider established in Marvel, Arkansas operating as a Pharmacy. The NPI number of this provider is 1295752376 and was assigned on July 2006. The practitioner's primary taxonomy code is 333600000X with license number AR20373 (AR). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. John William Gray Pharmacist (Owner Pharm)
| NPI | 1295752376 |
| Provider Name | MARVELL CLINIC PHARMACY, INC. |
| Location Address | 406 S MILL ST MARVEL, AR 72366 |
| Location Phone | (870) 829-1044 |
| Mailing Address | PO BOX 217 406 S. MILL ST MARVELL, AR 72366 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 07-16-2006 |
| Last Update Date | 02-11-2008 |
The CLIA number of Marvell Clinic Pharmacy, Inc. is 04D2150838 registered as a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Marvell Clinic Pharmacy, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 333600000X |
| Classification | Pharmacy |
| Type | Suppliers |
| License No. | AR20373 |
| License State | AR |
| Taxonomy Description | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
406 S MILL ST
MARVEL, AR
ZIP 72366
Phone: (870) 829-1044
Fax: (870) 829-1067
Mailing Address
PO BOX 217
406 S. MILL ST
MARVELL, AR
ZIP 72366
Phone: (870) 829-1044
Fax: (870) 829-1067
Location Map
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1295752376 is:
| CLIA Number | 04D2150838 |
| Facility Type | SCHOOL/STUDENT HEALTH SERVICE |
| Certificate Type | Certificate of Waiver |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | AR20373 | AR | No | |
Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 5743090001 | MEDICARE NSC (07) | AR |
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. | |||||||||
| 1 | 2 | 9 | 5 | 7 | 5 | 2 | 3 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 14 | 5 | 4 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 1 + 4 + 5 + 4 + 3 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1295752376 is valid because the calculated check digit 6 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922620483 | EAST ARKANSAS FAMILY HEALTH CENTER PHARMACY NO. 3, LLC Organization | Pharmacy (Community/Retail Pharmacy) | 406 S MILL ST MARVELL, AR 72366 (870) 829-1168 |
| 1962154005 | MS. PATRICIA TURNER PD Individual | Pharmacist | 406 S MILL ST MARVELL, AR 72366 (870) 829-9116 |
Frequently Asked Questions
What is MARVELL CLINIC PHARMACY, INC. NPI number?
The NPI number assigned to this healthcare provider is 1295752376, registered as an "organization" on July 16, 2006
Where is MARVELL CLINIC PHARMACY, INC. located?
The provider is located at 406 S Mill St Marvel, Ar 72366 and the phone number is (870) 829-1044
What kind of medical provider is MARVELL CLINIC PHARMACY, INC.?
This medical organization specializes in Pharmacy
What insurance does MARVELL CLINIC PHARMACY, INC. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
What is MARVELL CLINIC PHARMACY, INC. CLIA number?
The provider's CLIA number is 04D2150838 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
How do I update my NPI information?
The NPI record of MARVELL CLINIC PHARMACY, INC. was last updated on July 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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