PETERSON PHARMACY
NPI 1548369259
Military/U.S. Coast Guard Pharmacy in Peterson Afb, CO

NPI Status: Active since September 21, 2006

Contact Information

559 VINCENT ST
PETERSON AFB, CO
ZIP 80914
Phone: (719) 333-2273
Fax: (719) 556-1106

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  • Organization
  • Military/U.S. Coast Guard Pharmacy
  • Accepts Insurance

About PETERSON PHARMACY

This page provides the complete NPI Profile along with additional information for Peterson Pharmacy, a provider established in Peterson Afb, Colorado operating as a Military/u.s. Coast Guard Pharmacy. The healthcare provider is registered in the NPI registry with number 1548369259 assigned on September 2006. The practitioner's primary taxonomy code is 332000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Peterson Pharmacy. The authorized official of this NPI record is Hector Morales (Chief Dha Pass)

NPI
1548369259
Provider Legal Name
21ST MEDICAL GROUP
Other Organization Name
PETERSON PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
559 VINCENT ST PETERSON AFB, CO 80914
Location Phone
(719) 333-2273
Location Fax
(719) 556-1106
Mailing Address
559 VINCENT ST PETERSON AFB, CO 80914
Mailing Phone
(719) 333-2273
Mailing Fax
(719) 556-1106
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2006
Last Update Date
01-13-2016
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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

Military/U.S. Coast Guard Pharmacy

Taxonomy Code
332000000X
Type
Suppliers
Taxonomy Description
A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.

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

 

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

HECTOR MORALES

Authorized Official Title
CHIEF DHA PASS
Authorized Official Phone
(210) 536-6650

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
2003352OTHER (01)PK

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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 1548369259, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 4 → 8 3 → 6 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 8 + 8 + 6 + 6 + 1 + 8 + 2 + 1 + 0 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1548369259.

Other Providers at the Same Location


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

Dentist
559 VINCENT ST, ATTN: 21 DS - DENTAL CLINIC
PETERSON AFB, CO 80914
Family Medicine
559 VINCENT ST, ATTN: 21 MDOS/SGPF - FLIGHT MEDICINE
COLORADO SPRINGS, CO 80914
Nurse Practitioner (Women's Health)
559 VINCENT ST, SUITE 605
PETERSON AFB, CO 80914
Nurse Practitioner (Women's Health)
559 VINCENT ST, FAMILY PRACTICE CLINIC
PETERSON AFB, CO 80914
Physical Therapist
559 VINCENT ST
PETERSON AFB, CO 80914
Social Worker (Clinical)
559 VINCENT ST
COLORADO SPRINGS, CO 80914
Dietitian, Registered
559 VINCENT ST
PETERSON AIR FORCE BASE, CO 80914
Nurse Practitioner (Pediatrics)
559 VINCENT ST, 21 MDOS/SGOC - PEDIATRICS
PETERSON AFB, CO 80914
Nurse Practitioner (Women's Health)
559 VINCENT ST, ATTN: 21 MDOS/SGOMG-WOMEN'S HEALTH
PETERSON AFB, CO 80914
Social Worker (Clinical)
559 VINCENT ST
PETERSON AFB, CO 80914
Dentist
559 VINCENT ST
PETERSON AFB, CO 80914
Preventive Medicine (Aerospace Medicine)
559 VINCENT ST, ATTN: 21 AMDS/SGPF - AEROSP MEDICINE
PETERSON AFB, CO 80914
Physician Assistant
559 VINCENT ST
PETERSON AFB, CO 80914
Family Medicine
559 VINCENT ST, ATTN: 21 AMDS/SGPF - FLIGHT MEDICINE
PETERSON AFB, CO 80914
Preventive Medicine (Aerospace Medicine)
559 VINCENT ST, ATTN: 21 AMDS/SGPF - AEROSP MED
PETERSON AFB, CO 80914
Physician Assistant (Medical)
559 VINCENT ST
PETERSON AIR FORCE BASE, CO 80914
Nurse Practitioner
559 VINCENT ST, ATTN: 21 MDOS/SGOF-FAMILY PRACTICE, 302D/CC
COLORADO SPRINGS, CO 80914
Counselor (Mental Health)
559 VINCENT ST, ATTN: 21 MDOS/SGOH--MENTAL HEALTH
PETERSON AFB, CO 80914
Psychologist (Clinical)
559 VINCENT ST, ATTN: 21 MDOS/SGOH-MENTAL HEALTH
PETERSON AFB, CO 80914
Pediatrics
559 VINCENT ST, 21 MDG/BDAA PEDIATRICS
COLORADO SPRINGS, CO 80914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548369259, enumerated as an "organization" on September 21, 2006.

The provider is located at 559 VINCENT ST PETERSON AFB, CO 80914 and the phone number is (719) 333-2273.

Military/U.S. Coast Guard Pharmacy with taxonomy code 332000000X.

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