ELLIS PHARMACY
NPI 1356553812
Pharmacy - Community/Retail Pharmacy in San Francisco, CA

NPI Status: Active since May 04, 2007

Contact Information

468 ELLIS ST
SAN FRANCISCO, CA
ZIP 94102
Phone: (415) 441-1016
Fax: (415) 441-5088

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About ELLIS PHARMACY

This page provides the complete NPI Profile along with additional information for Ellis Pharmacy, a provider established in San Francisco, California operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1356553812 assigned on May 2007. The practitioner's primary taxonomy code is 3336C0003X with license number PHY31181 (CA). 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 Mr. Hung Do Pham R.phar. (Pharmacist-in-charge)

NPI
1356553812
Provider Name
ELLIS PHARMACY
Entity Type
Organization
Location Address
468 ELLIS ST SAN FRANCISCO, CA 94102
Location Phone
(415) 441-1016
Location Fax
(415) 441-5088
Mailing Address
468 ELLIS ST SAN FRANCISCO, CA 94102
Mailing Phone
(415) 441-1016
Mailing Fax
(415) 441-5088
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2007
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.
PHY31181
License State
CA
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.

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

MR. HUNG DO PHAM R.PHAR.

Authorized Official Title
PHARMACIST-IN-CHARGE
Authorized Official Phone
(415) 441-1016

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
PHA311810MEDICAID (05)CA 

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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.
1356553812
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23106105682
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 6 + 8 + 2 + 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 1356553812 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 provider is registered at the same or nearby location.

DR. CYNTHIA LYNNE CLARK M.D.

Family Medicine

468 ELLIS ST
SAN FRANCISCO, CA
ZIP 94102

(650) 227-1150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356553812, enumerated as an "organization" on May 04, 2007.

The provider is located at 468 ELLIS ST SAN FRANCISCO, CA 94102 and the phone number is (415) 441-1016.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.