LACKEY CLINIC
NPI 1427582352
Pharmacy - Clinic Pharmacy in Yorktown, VA
NPI Status: Active since April 18, 2017
Contact Information
1620 OLD WILLIAMSBURG RD
YORKTOWN, VA
ZIP 23690
Phone: (757) 886-0608
Fax: (757) 968-5022
- Organization
- Pharmacy
- Clinic Pharmacy
- CLIA Number: 49D0978155
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 11-08-2027
About LACKEY CLINIC
This page provides the complete NPI Profile along with additional information for Lackey Clinic, a provider established in Yorktown, Virginia operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1427582352 assigned on April 2017. The practitioner's primary taxonomy code is 3336C0002X with license number 0201003931 (VA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Lackey Clinic. The authorized official of this NPI record is Carol Sale Rn, Msn (Executive Director)
- NPI
- 1427582352
- Provider Legal Name
- OLIVET MEDICAL MINISTRY, INC
- Other Organization Name
- LACKEY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1620 OLD WILLIAMSBURG RD YORKTOWN, VA 23690
- Location Phone
- (757) 886-0608
- Location Fax
- (757) 968-5022
- Mailing Address
- 1620 OLD WILLIAMSBURG RD YORKTOWN, VA 23690
- Mailing Phone
- (757) 886-0608
- Mailing Fax
- (757) 968-5022
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-18-2017
- Last Update Date
- 04-18-2017
- 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 Clinic Pharmacy
- Taxonomy Code
- 3336C0002X
- Type
- Suppliers
- License No.
- 0201003931
- License State
- VA
- Taxonomy Description
- A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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
- 49D0978155
- Facility Type
- Community Clinic
- Certificate Effective Date
- November 09, 2025
- Certificate Expiration Date
- November 08, 2027
- Laboratory Director
- RALPH H. ROBERTSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Lackey Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1427582352, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
YORKTOWN, VA 23690
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427582352, enumerated as an "organization" on April 18, 2017.
The provider is located at 1620 OLD WILLIAMSBURG RD YORKTOWN, VA 23690 and the phone number is (757) 886-0608.
Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.
