CHARLOTTESVILLE FREE CLINIC
NPI 1477089639
Pharmacy in Charlottesville, VA

NPI Status: Active since May 10, 2017

Contact Information

901 PRESTON AVE, SUITE 101
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 295-8957
Fax: (434) 296-0904

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  • Organization
  • Pharmacy
  • CLIA Number: 49D0723369
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 12-14-2026

About CHARLOTTESVILLE FREE CLINIC

This page provides the complete NPI Profile along with additional information for Charlottesville Free Clinic, a provider established in Charlottesville, Virginia operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1477089639 assigned on May 2017. The practitioner's primary taxonomy code is 333600000X with license number 0201003106 (VA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Lawrence Melvin Thompson Iii Cpht (Pharmacy Manager)

NPI
1477089639
Provider Name
CHARLOTTESVILLE FREE CLINIC
Entity Type
Organization
Location Address
901 PRESTON AVE, SUITE 101 CHARLOTTESVILLE, VA 22903
Location Phone
(434) 295-8957
Location Fax
(434) 296-0904
Mailing Address
901 PRESTON AVE, SUITE 101 CHARLOTTESVILLE, VA 22903
Mailing Phone
(434) 295-8957
Mailing Fax
(434) 296-0904
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2017
Last Update Date
03-24-2023
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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

Taxonomy Code
333600000X
Type
Suppliers
License No.
0201003106
License State
VA
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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. LAWRENCE MELVIN THOMPSON III CPHT

Authorized Official Title
PHARMACY MANAGER
Authorized Official Phone
(434) 296-5525

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
49D0723369
Facility Type
Community Clinic
Certificate Effective Date
December 15, 2024
Certificate Expiration Date
December 14, 2026
Laboratory Director
DAVIDL E. NORMANSELL
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Charlottesville Free 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 1477089639, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 7 → 14 → 5 0 → 0 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 0 + 8 + 1 + 8 + 6 + 6 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1477089639.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477089639, enumerated as an "organization" on May 10, 2017.

The provider is located at 901 PRESTON AVE, SUITE 101 CHARLOTTESVILLE, VA 22903 and the phone number is (434) 295-8957.

Pharmacy with taxonomy code 333600000X.