ST ELIZABETHS HOSPITAL OUTPATIENT PHARMACY
NPI 1366507485
Pharmacy - Community/Retail Pharmacy in Belleville, IL
NPI Status: Active since December 27, 2006
Contact Information
211 S 3RD ST
BELLEVILLE, IL
ZIP 62220
Phone: (618) 234-2120
Fax: (618) 222-4786
- Organization
- Pharmacy
- Community/Retail Pharmacy
- CLIA Number: 14D0434026
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-08-2027
About ST ELIZABETHS HOSPITAL OUTPATIENT PHARMACY
This page provides the complete NPI Profile along with additional information for St Elizabeths Hospital Outpatient Pharmacy, a provider established in Belleville, Illinois operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1366507485 assigned on December 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 054017328 051040885 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as St Elizabeths Hospital Outpatient Pharmacy. The authorized official of this NPI record is Mark D Evard (Vp Of Revenue Cycle)
- NPI
- 1366507485
- Provider Legal Name
- ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
- Other Organization Name
- ST ELIZABETHS HOSPITAL OUTPATIENT PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 211 S 3RD ST BELLEVILLE, IL 62220
- Location Phone
- (618) 234-2120
- Location Fax
- (618) 222-4786
- Mailing Address
- 3051 HOLLIS DR SPRINGFIELD, IL 62704
- Mailing Phone
- (618) 234-2120
- Mailing Fax
- (618) 222-4786
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2006
- Last Update Date
- 10-31-2024
- 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
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- 054017328 051040885
- License State
- IL
- 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.
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 |
|---|---|---|---|
| 1470676 | OTHER (01) | NCPDP PROVIDER IDENTIFICATION NUMBER |
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
- 14D0434026
- Facility Type
- Hospital
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- DR. PAUL A. KAY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to St Elizabeths Hospital Outpatient Pharmacy on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1366507485, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BELLEVILLE, IL 62220
BELLEVILLE, IL 62220
BELLEVILLE, IL 62220
BELLEVILLE, IL 62220
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366507485, enumerated as an "organization" on December 27, 2006.
The provider is located at 211 S 3RD ST BELLEVILLE, IL 62220 and the phone number is (618) 234-2120.
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.
