SALT RIVER PHARMACY
NPI 1396817607
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Scottsdale, AZ

NPI Status: Active since November 14, 2006

Contact Information

10005 E OSBORN RD
SCOTTSDALE, AZ
ZIP 85256
Phone: (480) 946-9066
Fax: (480) 946-9415

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  • Organization
  • Indian Health Service/Tribal/Urban India...
  • CLIA Number: 03D0719659
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 10-23-2025

About SALT RIVER PHARMACY

This page provides the complete NPI Profile along with additional information for Salt River Pharmacy, a provider established in Scottsdale, Arizona 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 1396817607 assigned on November 2006. The practitioner's primary taxonomy code is 332800000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Salt River Pharmacy. The authorized official of this NPI record is Laura A Tillman Md (Cmo)

NPI
1396817607
Provider Legal Name
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Other Organization Name
SALT RIVER PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10005 E OSBORN RD SCOTTSDALE, AZ 85256
Location Phone
(480) 946-9066
Location Fax
(480) 946-9415
Mailing Address
PO BOX 95460 CLEVELAND, OH 44101
Mailing Phone
(602) 581-6088
Mailing Fax
(480) 946-9415
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-14-2006
Last Update Date
05-26-2021
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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

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Taxonomy Code
332800000X
Type
Suppliers
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.

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

LAURA A TILLMAN MD

Authorized Official Title
CMO
Authorized Official Phone
(602) 263-1674

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
092453MEDICAID (05)AZ 
0354679OTHER (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
03D0719659
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
October 24, 2023
Certificate Expiration Date
October 23, 2025
Laboratory Director
KODY SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Salt River 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 SALT RIVER 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 1396817607, 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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 6 + 1 + 1 + 4 + 6 + 0 + 24 = 63

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.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1396817607.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Speech-Language Pathologist
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Pharmacist
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Pharmacist
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Pharmacist
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Dental Hygienist
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Registered Nurse
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Counselor (Mental Health)
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Psychologist (Clinical)
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Counselor (Professional)
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Counselor (Mental Health)
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Counselor (Professional)
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Social Worker (Clinical)
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Dietitian, Registered
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Pharmacist
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Counselor (Professional)
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Pharmacist
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Psychologist
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Dentist
10005 E OSBORN RD
SCOTTSDALE, AZ 85256
Durable Medical Equipment & Medical Supplies
10005 E OSBORN RD
SCOTTSDALE, AZ 85256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396817607, enumerated as an "organization" on November 14, 2006.

The provider is located at 10005 E OSBORN RD SCOTTSDALE, AZ 85256 and the phone number is (480) 946-9066.

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

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