MED PLUS PHARMACY OF CARLYLE
NPI 1477843670
Pharmacy in Carlyle, IL

NPI Status: Active since April 10, 2011

Contact Information

18195 EULA MAE PKWY
CARLYLE, IL
ZIP 62231
Phone: (618) 594-8385
Fax: (618) 594-8591

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  • Organization
  • Pharmacy

About MED PLUS PHARMACY OF CARLYLE

This page provides the complete NPI Profile along with additional information for Med Plus Pharmacy Of Carlyle, a provider established in Carlyle, Illinois operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1477843670 assigned on April 2011. The practitioner's primary taxonomy code is 333600000X with license number 054.017720 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Med Plus Pharmacy Of Carlyle. The authorized official of this NPI record is Charles Doehring (Co-manager)

NPI
1477843670
Provider Legal Name
TJD ENTERPRISES, LLC
Other Organization Name
MED PLUS PHARMACY OF CARLYLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
18195 EULA MAE PKWY CARLYLE, IL 62231
Location Phone
(618) 594-8385
Location Fax
(618) 594-8591
Mailing Address
18195 EULA MAE PKWY CARLYLE, IL 62231
Mailing Phone
(618) 594-8385
Mailing Fax
(618) 594-8591
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2011
Last Update Date
12-22-2011
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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.
054.017720
License State
IL
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336C0004XSuppliers

Pharmacy
Compounding Pharmacy

 

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

CHARLES DOEHRING

Authorized Official Title
CO-MANAGER
Authorized Official Phone
(618) 327-3214

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
1485792OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477843670
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471646614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 6 + 4 + 6 + 6 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1477843670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

SETH ALAN CROCKER RPH

Pharmacist

18195 EULA MAE PKWY
CARLYLE, IL
ZIP 62231

(618) 594-8385

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477843670, enumerated as an "organization" on April 10, 2011.

The provider is located at 18195 EULA MAE PKWY CARLYLE, IL 62231 and the phone number is (618) 594-8385.

Pharmacy with taxonomy code 333600000X.

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