INDIAN RIVER MEMORIAL HOSPITAL
NPI 1477652428
Pharmacy - Community/Retail Pharmacy in Vero Beach, FL

NPI Status: Active since September 22, 2006

Contact Information

1000 36TH ST
RETAIL PHARMACY
VERO BEACH, FL
ZIP 32960
Phone: (772) 567-4311
Fax: (772) 794-1462

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pharmacy
Community/Retail Pharmacy
Accepts Insurance
CLIA Number: 10D2003581
CLIA Cert. Type: Other - URGENT CARE
CLIA Exp. Date: 02-11-2026

About INDIAN RIVER MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Indian River Memorial Hospital, a provider established in Vero Beach, Florida operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1477652428 assigned on September 2006. The practitioner's primary taxonomy code is 3336C0003X with license number PH-8926 (FL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Jeffery Susi (C.e.o. President)

NPI: 1477652428
Provider Name: INDIAN RIVER MEMORIAL HOSPITAL
Entity Type: Organization
Location Address: 1000 36TH ST RETAIL PHARMACY VERO BEACH, FL 32960
Location Phone: (772) 567-4311
Location Fax: (772) 794-1462
Mailing Address: 1000 36TH ST RETAIL PHARMACY VERO BEACH, FL 32960
Mailing Phone: (772) 567-4311
Mailing Fax: (772) 794-1462
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-22-2006
Last Update Date: 08-22-2020
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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.: PH-8926
License State: FL
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:

HealthPartners

NE WI Select $3,150 Plus Silver - PPO
NE WI Select $3,800 HSA Silver - PPO
NE WI Select $6,000 Standard Silver - PPO
NE WI Select $6,800 Plus Bronze HSA - PPO
NE WI Select $7,500 Standard Bronze HSA - PPO
NE WI Select $8,400 HSA Bronze - PPO

SummaCare

SummaCare Bronze 10600 with 3 Free PCP Visits - HMO
SummaCare Bronze 10600 with 3 Free PCP Visits + Adult Vision - HMO
SummaCare Bronze 8000 - HMO
SummaCare Bronze 8000 with Adult Vision Exam - HMO
SummaCare Gold 1000 with 3 Free PCP Visits + Adult Vision - HMO
SummaCare Gold 2000 with 3 Free PCP Visits - HMO
SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision - HMO
SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision - HMO
SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits - HMO
SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision - HMO
SummaCare Silver 7000 with 3 Free PCP Visits - HMO
SummaCare Standard Bronze - HMO
SummaCare Standard Bronze with Adult Vision - HMO
SummaCare Standard Gold - HMO
SummaCare Standard Gold with Adult Vision - HMO
SummaCare Standard Silver - HMO
SummaCare Standard Silver with Adult Vision - HMO

*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. JEFFERY SUSI
Authorized Official Title: C.E.O. PRESIDENT
Authorized Official Phone: (772) 567-4311

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: 10D2003581
Facility Type: Other - URGENT CARE
Certificate Effective Date: February 12, 2024
Certificate Expiration Date: February 11, 2026
Laboratory Director: KARL ELSER
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Indian River Memorial Hospital 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.

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 1477652428, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 14 → 1 + 4

Pos 4

Unchanged

Pos 5

Doubled → 12 → 1 + 2

Pos 6

Unchanged

Pos 7

Doubled → 4

Pos 8

Unchanged

Pos 9

Doubled → 4

Check

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 6 → 12 → 3 2 → 4 2 → 4

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 + 1 + 2 + 5 + 4 + 4 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1477652428.