SMITHS COUNTRY CLUB DRUG STORE INC
NPI 1508847179
Durable Medical Equipment & Medical Supplies in Little Rock, AR

NPI Status: Active since November 09, 2005

Contact Information

5114 KAVANAUGH BLVD
LITTLE ROCK, AR
ZIP 72207
Phone: (501) 663-4118
Fax: (501) 663-4110

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About SMITHS COUNTRY CLUB DRUG STORE INC

This page provides the complete NPI Profile along with additional information for Smiths Country Club Drug Store Inc, a provider established in Little Rock, Arkansas operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1508847179 assigned on November 2005. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Patricia Ann Ingels (Billing Agent)

NPI
1508847179
Provider Name
SMITHS COUNTRY CLUB DRUG STORE INC
Entity Type
Organization
Location Address
5114 KAVANAUGH BLVD LITTLE ROCK, AR 72207
Location Phone
(501) 663-4118
Location Fax
(501) 663-4110
Mailing Address
5114 KAVANAUGH BLVD LITTLE ROCK, AR 72207
Mailing Phone
(501) 663-4118
Mailing Fax
(501) 663-4110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2005
Last Update Date
09-02-2011
Code Navigator



Smiths Country Club Drug Store Inc is a medicare supplier with PTAN 20601671 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Heat & Cold Applications or Canes and/or Crutches or Walkers or Orthoses: Off-The-Shelf or Ostomy Supplies or Urological Supplies.

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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
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.

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

PATRICIA ANN INGELS

Authorized Official Title
BILLING AGENT
Authorized Official Phone
(501) 663-4118

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
0419211MEDICAID (05)IL 
1217280001MEDICARE NSC (07) 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20601671
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices

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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 1508847179, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 0 → 0 8 → 16 → 7 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 1 + 6 + 4 + 1 + 4 + 1 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1508847179.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
5114 KAVANAUGH BLVD
LITTLE ROCK, AR 72207
Pharmacist
5114 KAVANAUGH BLVD
LITTLE ROCK, AR 72207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508847179, enumerated as an "organization" on November 09, 2005.

The provider is located at 5114 KAVANAUGH BLVD LITTLE ROCK, AR 72207 and the phone number is (501) 663-4118.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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