VILLAGE LANE APOTHECARY
NPI 1528431418
Pharmacy - Compounding Pharmacy in Colleyville, TX

NPI Status: Active since November 02, 2015

Contact Information

60 VILLAGE LN STE 130
COLLEYVILLE, TX
ZIP 76034
Phone: (817) 717-2000
Fax: (817) 717-8424

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  • Organization
  • Pharmacy
  • Compounding Pharmacy
  • Accepts Insurance

About VILLAGE LANE APOTHECARY

This page provides the complete NPI Profile along with additional information for Village Lane Apothecary, a provider established in Colleyville, Texas operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1528431418 assigned on November 2015. The practitioner's primary taxonomy code is 3336C0004X with license number 30288 (TX). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Village Lane Apothecary. The authorized official of this NPI record is Lesli Holt (Pharmacist In Charge)

NPI
1528431418
Provider Legal Name
VILLAGE LANE APOTHECARY, L.L.C.
Other Organization Name
VILLAGE LANE APOTHECARY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
60 VILLAGE LN STE 130 COLLEYVILLE, TX 76034
Location Phone
(817) 717-2000
Location Fax
(817) 717-8424
Mailing Address
60 VILLAGE LN STE 130 COLLEYVILLE, TX 76034
Mailing Phone
(817) 717-2000
Mailing Fax
(817) 717-8424
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2015
Last Update Date
11-02-2015
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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

Pharmacy Compounding Pharmacy

Taxonomy Code
3336C0004X
Type
Suppliers
License No.
30288
License State
TX
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Catastrophic - PPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - PPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Share - PPO
  • Balance by Medica Silver Standard - PPO
  • Harmony by Medica Bronze $0 Copay PCP Visits - PPO
  • Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam - PPO
  • Harmony by Medica Bronze Premier - PPO
  • Harmony by Medica Bronze Premier + Adult Eye Exam - PPO
  • Harmony by Medica Catastrophic - PPO
  • Harmony by Medica Catastrophic + Adult Eye Exam - PPO
  • Harmony by Medica Expanded Bronze Standard - PPO
  • Harmony by Medica Expanded Bronze Standard + Adult Eye Exam - PPO
  • Harmony by Medica Gold $0 Copay PCP Visits - PPO
  • Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam - PPO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,000 - HMO
  • Sanford Individual TRUE $7,100 HSA Qualified - HMO
  • Sanford Individual TRUE $9,200 - HMO
  • Sanford Individual TRUE Standardized $1,500 - HMO
  • Sanford Individual TRUE Standardized $5,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

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

LESLI HOLT

Authorized Official Title
PHARMACIST IN CHARGE
Authorized Official Phone
(817) 717-2000

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
2154971OTHER (01)PK

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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.
1528431418
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254883242
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 8 + 3 + 2 + 4 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1528431418 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528431418, enumerated as an "organization" on November 02, 2015.

The provider is located at 60 VILLAGE LN STE 130 COLLEYVILLE, TX 76034 and the phone number is (817) 717-2000.

Pharmacy with taxonomy code 3336C0004X and a focus in Compounding Pharmacy.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Medica,. Please consult your insurance carrier or call the provider to verify.