TACKETT CUSTOM MEDICINE
NPI 1497009583
Clinic/Center in Weatherford, TX

NPI Status: Active since October 29, 2012

Contact Information

175 COLLEGE PARK DR
WEATHERFORD, TX
ZIP 76086
Phone: (817) 550-6046
Fax: (817) 550-6047

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  • Organization
  • Clinic/Center

About TACKETT CUSTOM MEDICINE

This page provides the complete NPI Profile along with additional information for Tackett Custom Medicine, a provider established in Weatherford, Texas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1497009583 assigned on October 2012. The practitioner's primary taxonomy code is 261Q00000X with license number 28226 (TX). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. David Roger Morris Pharm.d. (Pic)

NPI
1497009583
Provider Name
TACKETT CUSTOM MEDICINE
Entity Type
Organization
Location Address
175 COLLEGE PARK DR WEATHERFORD, TX 76086
Location Phone
(817) 550-6046
Location Fax
(817) 550-6047
Mailing Address
132 EL CHICO TRL WILLOW PARK, TX 76087
Mailing Phone
(817) 441-7046
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2012
Last Update Date
10-29-2012
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
28226
License State
TX
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

DR. DAVID ROGER MORRIS PHARM.D.

Authorized Official Title
PIC
Authorized Official Phone
(817) 441-7046

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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 1497009583, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 9 → 18 → 9 0 → 0 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 0 + 0 + 1 + 8 + 5 + 1 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1497009583.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497009583, enumerated as an "organization" on October 29, 2012.

The provider is located at 175 COLLEGE PARK DR WEATHERFORD, TX 76086 and the phone number is (817) 550-6046.

Clinic/Center with taxonomy code 261Q00000X.