NORTHLAKES CLINIC PHARMACY
NPI 1518306893
Pharmacy - Clinic Pharmacy in Minong, WI
NPI Status: Active since June 19, 2013
Contact Information
600 W SHELL CREEK RD
MINONG, WI
ZIP 54859
Phone: (715) 466-2201
Fax: (715) 466-2205
- Organization
- Pharmacy
- Clinic Pharmacy
- CLIA Number: 52D1078013
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 01-08-2027
About NORTHLAKES CLINIC PHARMACY
This page provides the complete NPI Profile along with additional information for Northlakes Clinic Pharmacy, a provider established in Minong, Wisconsin operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1518306893 assigned on June 2013. The practitioner's primary taxonomy code is 3336C0002X with license number 9206-42 (WI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Northlakes Clinic Pharmacy. The authorized official of this NPI record is Jason Akl (Coo)
- NPI
- 1518306893
- Provider Legal Name
- THE LAKES COMMUNITY HEALTH CENTER, INC
- Other Organization Name
- NORTHLAKES CLINIC PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 600 W SHELL CREEK RD MINONG, WI 54859
- Location Phone
- (715) 466-2201
- Location Fax
- (715) 466-2205
- Mailing Address
- 7665 US HIGHWAY 2 IRON RIVER, WI 54847
- Mailing Phone
- (715) 372-5001
- Mailing Fax
- (715) 466-2205
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2013
- Last Update Date
- 08-05-2021
- Code Navigator
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
Pharmacy Clinic Pharmacy
- Taxonomy Code
- 3336C0002X
- Type
- Suppliers
- License No.
- 9206-42
- License State
- WI
- 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.
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 this NPI number is:
- CLIA Number
- 52D1078013
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- January 09, 2025
- Certificate Expiration Date
- January 08, 2027
- Laboratory Director
- DR. DEBORAH A. DRYER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northlakes Clinic 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.
Reviews for NORTHLAKES CLINIC PHARMACY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1518306893, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
MINONG, WI 54859
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518306893, enumerated as an "organization" on June 19, 2013.
The provider is located at 600 W SHELL CREEK RD MINONG, WI 54859 and the phone number is (715) 466-2201.
Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.
