12TH STREET PHARMACY
NPI 1538284716
Pharmacy - Community/Retail Pharmacy in Ogden, UT

NPI Status: Active since March 20, 2007

Contact Information

698 12TH ST
OGDEN, UT
ZIP 84404
Phone: (801) 621-2154
Fax: (801) 627-9523

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Accepts Insurance

About 12TH STREET PHARMACY

This page provides the complete NPI Profile along with additional information for 12th Street Pharmacy, a provider established in Ogden, Utah operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1538284716 assigned on March 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 362500-1703 (UT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as 12th Street Pharmacy. The authorized official of this NPI record is Wallace Eggleston (Owner And Pharmacist)

NPI
1538284716
Provider Legal Name
12TH ST PHARMACY INC
Other Organization Name
12TH STREET PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
698 12TH ST OGDEN, UT 84404
Location Phone
(801) 621-2154
Location Fax
(801) 627-9523
Mailing Address
698 12TH ST OGDEN, UT 84404
Mailing Phone
(801) 621-2154
Mailing Fax
(801) 627-9523
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2007
Last Update Date
09-23-2016
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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 Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
362500-1703
License State
UT
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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)
1333600000XSuppliers

Pharmacy

 
23336C0002XSuppliers

Pharmacy
Clinic Pharmacy

 

Insurance Plans Accepted

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

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO

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

WALLACE EGGLESTON

Authorized Official Title
OWNER AND PHARMACIST
Authorized Official Phone
(801) 621-2154

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
2100182OTHER (01)PK
=========000MEDICAID (05)UT 

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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 1538284716, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 3 → 6 2 → 4 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 4 + 8 + 8 + 7 + 2 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1538284716.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
698 12TH ST
OGDEN, UT 84404
Nurse Practitioner (Psychiatric/Mental Health)
698 12TH ST
OGDEN, UT 84404
Counselor (Professional)
698 12TH ST
OGDEN, UT 84404
Physician Assistant
698 12TH ST
OGDEN, UT 84404
Clinic/Center (Hearing and Speech)
698 12TH ST
OGDEN, UT 84404
Physician Assistant
698 12TH ST
OGDEN, UT 84404
Family Medicine
698 12TH ST
OGDEN, UT 84404
Physician Assistant
698 12TH ST
OGDEN, UT 84404
Family Medicine
698 12TH ST
OGDEN, UT 84404
Physician Assistant
698 12TH ST
OGDEN, UT 84404
Physician Assistant
698 12TH ST
OGDEN, UT 84404
Physician Assistant
698 12TH ST
OGDEN, UT 84404
Physician Assistant
698 12TH ST
OGDEN, UT 84404
Nurse Practitioner (Family)
698 12TH ST
OGDEN, UT 84404
Pediatrics
698 12TH ST
OGDEN, UT 84404
Family Medicine
698 12TH ST
OGDEN, UT 84404
Nurse Practitioner (Family)
698 12TH ST
OGDEN, UT 84404
Pharmacy (Community/Retail Pharmacy)
698 12TH ST
OGDEN, UT 84404
Physical Therapist
698 12TH ST
OGDEN, UT 84404
Physical Therapist
698 12TH ST
OGDEN, UT 84404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538284716, enumerated as an "organization" on March 20, 2007.

The provider is located at 698 12TH ST OGDEN, UT 84404 and the phone number is (801) 621-2154.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

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