PARK SHORE PHARMACON
NPI 1417043100
Durable Medical Equipment & Medical Supplies in Hallandale Beach, FL

NPI Status: Active since October 04, 2006

Contact Information

600 ANSIN BLVD
HALLANDALE BEACH, FL
ZIP 33009
Phone: (954) 874-4646
Fax: (954) 455-1378

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About PARK SHORE PHARMACON

This page provides the complete NPI Profile along with additional information for Park Shore Pharmacon, a provider established in Hallandale Beach, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1417043100 assigned on October 2006. The practitioner's primary taxonomy code is 332B00000X with license number PH13376 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Park Shore Pharmacon. The authorized official of this NPI record is Mr. Robert D Gillis R.ph. (President.)

NPI
1417043100
Provider Legal Name
PARK SHORE DRUG INC
Other Organization Name
PARK SHORE PHARMACON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 ANSIN BLVD HALLANDALE BEACH, FL 33009
Location Phone
(954) 874-4646
Location Fax
(954) 455-1378
Mailing Address
600 ANSIN BLVD HALLANDALE BEACH, FL 33009
Mailing Phone
(954) 874-4646
Mailing Fax
(954) 455-1378
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2006
Last Update Date
06-21-2012
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Park Shore Pharmacon is a medicare supplier with PTAN 20569973 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or External Infusion Pumps and/or Supplies or Orthoses: Off-The-Shelf or Ostomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Nebulizer Equipment and/or Supplies or Surgical Dressings.

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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
PH13376
License State
FL
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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. ROBERT D GILLIS R.PH.

Authorized Official Title
PRESIDENT.
Authorized Official Phone
(954) 874-4646

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
671982198MEDICAID (05)FL 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20569973
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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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 1417043100, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
0
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 1 → 2 0 → 0 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 0 + 4 + 6 + 1 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1417043100.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacist
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacist
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacist
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacist
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacist
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacist
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacist
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacist
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacy (Long Term Care Pharmacy)
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacy Technician
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacy Technician
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacist
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Registered Nurse
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacy Technician
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009
Pharmacist
600 ANSIN BLVD
HALLANDALE BEACH, FL 33009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417043100, enumerated as an "organization" on October 04, 2006.

The provider is located at 600 ANSIN BLVD HALLANDALE BEACH, FL 33009 and the phone number is (954) 874-4646.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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