BROOKLERE PHARMACY NPI 1487781571
Pharmacy - Community/Retail Pharmacy in Adamsville, AL
About BROOKLERE PHARMACY
Brooklere Pharmacy is a provider established in Adamsville, Alabama specializing in Pharmacy with a focus in community/retail pharmacy . The NPI number of Brooklere Pharmacy is 1487781571 and was assigned on February 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 101030 (AL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Brooklere Pharmacy. The authorized official of this NPI record is Johnny Brooklere (Sec And Treasurer)
The CLIA number of Brooklere Pharmacy is 01D2048934 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Brooklere Pharmacy 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 | 1487781571 |
| Provider Name | BROOKLERE PHARMACY |
| Provider Location Address | 3633 GRAY AVE ADAMSVILLE, AL 35005 |
| Provider Mailing Address | 3633 GRAY AVE ADAMSVILLE, AL 35005 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | BROOKLERE PHARMACY |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 02-27-2007 |
| Last Update Date | 02-28-2017 |
Brooklere Pharmacy is a medicare supplier with PTAN 4361740001 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: Nebulizer Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Heat & Cold Applications or Hospital Beds (Electric) or Traction Equipment or Canes and/or Crutches or Patient Lifts or Power Operated Vehicles (Scooters) or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Power) or Orthoses: Off-The-Shelf or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Suction Pumps or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.
Primary Taxonomy
| Taxonomy Code | 3336C0003X |
| Classification | Pharmacy |
| Type | Suppliers |
| Specialization | Community/Retail Pharmacy |
| License No. | 101030 |
| License State | AL |
| 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. |
Business Address
BROOKLERE PHARMACY
3633 GRAY AVE
ADAMSVILLE, AL
ZIP 35005
Phone: (205) 674-1400
Fax: (205) 674-1525
Mailing Address
BROOKLERE PHARMACY
3633 GRAY AVE
ADAMSVILLE, AL
ZIP 35005
Phone: (205) 674-1400
Fax: (205) 674-1525
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
| PTAN | 4361740001 |
| Accepts Medicare Assignment | NO |
| Specialities List | Pharmacy. |
| Provider Type List | OXYGEN & EQUIPMENT. |
| Supplies List |
|
| Competitive Bidding | NO |
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 the NPI number 1487781571 is:
| CLIA Number | 01D2048934 |
| Facility Type | PHARMACY |
| Certificate Type | Certificate of Waiver |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | No | |||
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. | |||||||
| 2 | 333600000X | Suppliers | Pharmacy | No | |||
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. | |||||||
| 3 | 3336C0004X | Suppliers | Pharmacy | Compounding Pharmacy | No | ||
Taxonomy Description: a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1990908 | OTHER (01) | PK | |
| 4361740001 | MEDICARE NSC (07) | ||
| 102108 | MEDICAID (05) | AL |
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. | |||||||||
| 1 | 4 | 8 | 7 | 7 | 8 | 1 | 5 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 14 | 8 | 2 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 4 + 8 + 2 + 5 + 1 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1487781571 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659335149 | DR. BOYD KENWAY COUGLE JR. PHARMD Individual | Pharmacist | 3633 GRAY AVE ADAMSVILLE, AL 35005 (205) 674-1400 |
| 1639133614 | DR. ANTHONY J BROOKLERE PHARMD Individual | Pharmacist | 3633 GRAY AVE ADAMSVILLE, AL 35005 (205) 674-1400 |
| 1629032602 | DR. JOHNNY J BROOKLERE PHARMD Individual | Pharmacist | 3633 GRAY AVE ADAMSVILLE, AL 35005 (205) 674-1400 |
| 1003005265 | MATTHEW B REAMSMA PHARMD Individual | Pharmacist | 3633 GRAY AVE ADAMSVILLE, AL 35005 (205) 674-1400 |
| 1154661684 | DR. COREY NICHOLS PHARM.D. Individual | Pharmacist | 3633 GRAY AVE ADAMSVILLE, AL 35005 (205) 674-1400 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Brooklere Pharmacy is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.