PETMART PHARMACY, LLC
NPI 1548606403
Pharmacy - Mail Order Pharmacy in Maryville, TN

NPI Status: Active since May 20, 2013

Contact Information

2207 E BROADWAY AVE
MARYVILLE, TN
ZIP 37804
Phone: (877) 220-6337
Fax: (888) 908-0198

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  • Organization
  • Pharmacy
  • Mail Order Pharmacy

About PETMART PHARMACY, LLC

This page provides the complete NPI Profile along with additional information for Petmart Pharmacy, Llc, a provider established in Maryville, Tennessee operating as a Pharmacy, focusing in mail order pharmacy . The healthcare provider is registered in the NPI registry with number 1548606403 assigned on May 2013. The practitioner's primary taxonomy code is 3336M0002X with license number 4885 (TN). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Emily Abbott Pharm.d. (Pharmacis In Charge)

NPI
1548606403
Provider Name
PETMART PHARMACY, LLC
Entity Type
Organization
Location Address
2207 E BROADWAY AVE MARYVILLE, TN 37804
Location Phone
(877) 220-6337
Location Fax
(888) 908-0198
Mailing Address
2404 E BROADWAY AVE MARYVILLE, TN 37804
Mailing Phone
(877) 220-6337
Mailing Fax
(888) 908-0198
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2013
Last Update Date
05-10-2016
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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 Mail Order Pharmacy

Taxonomy Code
3336M0002X
Type
Suppliers
License No.
4885
License State
TN
Taxonomy Description
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.

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

DR. EMILY ABBOTT PHARM.D.

Authorized Official Title
PHARMACIS IN CHARGE
Authorized Official Phone
(877) 220-6337

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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.
1548606403
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25881201240
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 0 + 1 + 2 + 4 + 0 + 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 1548606403 is valid because the calculated check digit 3 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 1548606403, enumerated as an "organization" on May 20, 2013.

The provider is located at 2207 E BROADWAY AVE MARYVILLE, TN 37804 and the phone number is (877) 220-6337.

Pharmacy with taxonomy code 3336M0002X and a focus in Mail Order Pharmacy.