JEFFERSON HEALTH SYSTEM PHARMACY #3 NPI 1518045533

Pharmacy in Bessemer, AL

Organization Pharmacy CLIA Number 01D2152152 CLIA Certificate of Waiver

About JEFFERSON HEALTH SYSTEM PHARMACY #3

Jefferson Health System Pharmacy #3 is a provider established in Bessemer, Alabama specializing in Pharmacy. The NPI number of Jefferson Health System Pharmacy #3 is 1518045533 and was assigned on November 2006. The practitioner's primary taxonomy code is 333600000X with license number 170009 (AL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Glen A Thompson Pharm.d. (Director Of Pharmacy)

The CLIA number of Jefferson Health System Pharmacy #3 is 01D2152152 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Jefferson Health System Pharmacy #3 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

1518045533

Provider NameJEFFERSON HEALTH SYSTEM PHARMACY #3
Provider Location Address2201 ARLINGTON AVE BESSEMER, AL 35020
Provider Mailing Address2201 ARLINGTON AVE BESSEMER, AL 35020
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-01-2006
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code333600000X
ClassificationPharmacy
TypeSuppliers
License No.170009
License StateAL
Taxonomy DescriptionA 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.

Business Address

JEFFERSON HEALTH SYSTEM PHARMACY #3
2201 ARLINGTON AVE
BESSEMER, AL
ZIP 35020
Phone: (205) 930-1064
Fax: (205) 930-1988

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Mailing Address

JEFFERSON HEALTH SYSTEM PHARMACY #3
2201 ARLINGTON AVE
BESSEMER, AL
ZIP 35020
Phone: (205) 930-1064
Fax: (205) 930-1988


Authorized Official

Authorized Official NameDR. GLEN A THOMPSON PHARM.D.
Authorized Official TitleDIRECTOR OF PHARMACY
Authorized Official Phone(205) 918-2352

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 1518045533 is:

CLIA Number01D2152152
Facility TypeOTHER
Certificate TypeCertificate 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
13336C0002XSuppliersPharmacyClinic Pharmacy170009ALN/A

Taxonomy Description: a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

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.
1518045533
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2528041056
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 0 + 4 + 1 + 0 + 5 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1518045533 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205823168DR. DANIEL VINCENT KYLE M.D.
Individual
Internal Medicine2201 ARLINGTON AVE
BESSEMER, AL 35020
(205) 246-0001
1366420994DR. IRIS DENISE FANCHER M.D.
Individual
Pediatrics2201 ARLINGTON AVE
BESSEMER, AL 35020
(205) 424-6001
1144291154DR. DELSADIE PULLAR CALLINS M.D.
Individual
Pediatrics2201 ARLINGTON AVE
BESSEMER, AL 35020
(205) 424-6001
1851353403DR. CHANDRA P HARITHA M.D.
Individual
Family Medicine2201 ARLINGTON AVE
BESSEMER, AL 35020
(205) 424-6001
1992752976 PATSY M RAY CRNP
Individual
Nurse Practitioner2201 ARLINGTON AVE
BESSEMER, AL 35020
(205) 424-6001
1285720821 JONI MITCHELL GILL M.D.
Individual
Pediatrics2201 ARLINGTON AVE
BESSEMER, AL 35020
(205) 424-6001
1801977012 LISA EICH DMD
Individual
Dentist (General Practice)2201 ARLINGTON AVE JEFFERSON COUNTY HEALTH DEPT-BESSEMER DENTAL CLINIC
BIRMINGHAM, AL 35020
(205) 930-1422
1609180223DR. DEBORA RUFFIN HAMILTON RPH., PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)2201 ARLINGTON AVE
BESSEMER, AL 35020
(205) 497-3714
1003270430ALETHEIA HOUSE, INC.
Organization
Nurse Practitioner (Family)2201 ARLINGTON AVE
BESSEMER, AL 35020
(205) 324-6502
1417444381 HEATHER CHANTE HARDY-WILLIAMS CRNP
Individual
Nurse Practitioner (Adult Health)2201 ARLINGTON AVE
BESSEMER, AL 35020
(205) 677-2878
1306437256 KENNETH HAYES
Individual
Pharmacist2201 ARLINGTON AVE
BESSEMER, AL 35020
(205) 434-8084
1134882830MRS. NYESHIA CARTER JOHNSON RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)2201 ARLINGTON AVE
BESSEMER, AL 35020
(205) 277-6878

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
Jefferson Health System Pharmacy #3 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.