MOHEGAN PHARMACY
NPI 1326313677
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Uncasville, CT
NPI Status: Active since March 20, 2012
Contact Information
67 SANDY DESERT RD
UNCASVILLE, CT
ZIP 06382
Phone: (855) 664-4679
Fax: (860) 862-9099
- Organization
- Indian Health Service/Tribal/Urban India...
- Accepts Insurance
- CLIA Number: 07D2113140
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 05-16-2026
About MOHEGAN PHARMACY
This page provides the complete NPI Profile along with additional information for Mohegan Pharmacy, a provider established in Uncasville, Connecticut operating as a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The healthcare provider is registered in the NPI registry with number 1326313677 assigned on March 2012. The practitioner's primary taxonomy code is 332800000X with license number 114286 (AL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Mohegan Pharmacy. The authorized official of this NPI record is Debra Maxeiner (Deputy Chief Of Staff, Ops&admin)
- NPI
- 1326313677
- Provider Legal Name
- MOHEGAN TRIBE OF INDIANS OF CT
- Other Organization Name
- MOHEGAN PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 67 SANDY DESERT RD UNCASVILLE, CT 06382
- Location Phone
- (855) 664-4679
- Location Fax
- (860) 862-9099
- Mailing Address
- 67 SANDY DESERT RD UNCASVILLE, CT 06382
- Mailing Phone
- (855) 664-4679
- Mailing Fax
- (860) 862-9099
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-20-2012
- Last Update Date
- 06-18-2019
- Code Navigator
Location Map
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
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Taxonomy Code
- 332800000X
- Type
- Suppliers
- License No.
- 114286
- License State
- AL
- Taxonomy Description
- An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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) |
|---|---|---|---|---|
| 1 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | PCY.0001934 (CT) |
| 2 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 22-102271 (KS) |
| 3 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | NRX0000432 (DC) |
| 4 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | OSP.0006230 (CO) |
| 5 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2013044792 (MO) |
| 6 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 14964/7.1 (MS) |
| 7 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | PHY.007550-NR (LA) |
| 8 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | PHNR001180 (GA) |
| 9 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | PH26952 (FL) |
| 10 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 54.018477 (IL) |
| 11 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | PHA-MOP-LIC-25328 (MT) |
| 12 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | PMP-959 (HI) |
| 13 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | NRP-1530 (CA) |
| 14 | 332800000X | Suppliers | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | MO40001384 (ME) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Diabetes Care Gold HMO 014 - HMO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Savers Bronze HMO H S A 009 - HMO
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.
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 |
|---|---|---|---|
| 2135247 | OTHER (01) | PK |
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 this NPI number is:
- CLIA Number
- 07D2113140
- Facility Type
- Ambulance
- Certificate Effective Date
- May 17, 2024
- Certificate Expiration Date
- May 16, 2026
- Laboratory Director
- RONALD J. MACDONALD III
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mohegan Pharmacy 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.
Reviews for MOHEGAN 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 1326313677, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326313677, enumerated as an "organization" on March 20, 2012.
The provider is located at 67 SANDY DESERT RD UNCASVILLE, CT 06382 and the phone number is (855) 664-4679.
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.
The provider might be accepting Accepts: Baylor Scott and White Health Plan, Medicare and. Please consult your insurance carrier or call the provider to verify.
