WHOLE LIFE PHARMACY
NPI 1336574003
Pharmacy - Community/Retail Pharmacy in Ponte Vedra, FL

NPI Status: Active since September 12, 2013

Contact Information

10575 DIXIE HWY
PONTE VEDRA, FL
ZIP 32081
Phone: (904) 827-0177
Fax: (855) 319-9872

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About WHOLE LIFE PHARMACY

This page provides the complete NPI Profile along with additional information for Whole Life Pharmacy, a provider established in Ponte Vedra, Florida operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1336574003 assigned on September 2013. The practitioner's primary taxonomy code is 3336C0003X with license number PH27103 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mrs. Tiffany Amber Heath Pharmd (Pharmacy Manager)

NPI
1336574003
Provider Name
WHOLE LIFE PHARMACY
Entity Type
Organization
Location Address
10575 DIXIE HWY PONTE VEDRA, FL 32081
Location Phone
(904) 827-0177
Location Fax
(855) 319-9872
Mailing Address
2465 US 1 S STE 62 ST AUGUSTINE, FL 32086
Mailing Phone
(904) 827-0177
Mailing Fax
(855) 319-9872
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2013
Last Update Date
01-23-2014
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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.
PH27103
License State
FL
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

MRS. TIFFANY AMBER HEATH PHARMD

Authorized Official Title
PHARMACY MANAGER
Authorized Official Phone
(904) 827-0177

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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.
1336574003
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366107800
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 0 + 7 + 8 + 0 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1336574003 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336574003, enumerated as an "organization" on September 12, 2013.

The provider is located at 10575 DIXIE HWY PONTE VEDRA, FL 32081 and the phone number is (904) 827-0177.

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