CLOVER PHARMACY INC
NPI 1548650088
Pharmacy - Community/Retail Pharmacy in Port St Lucie, FL

NPI Status: Active since February 04, 2015

Contact Information

259-357 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 333-2585
Fax: (772) 333-2597

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About CLOVER PHARMACY INC

This page provides the complete NPI Profile along with additional information for Clover Pharmacy Inc, a provider established in Port St Lucie, Florida operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1548650088 assigned on February 2015. The practitioner's primary taxonomy code is 3336C0003X with license number PH28830 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Clover Pharmacy Inc. The authorized official of this NPI record is Miguel Ravelo (Owner)

NPI
1548650088
Provider Legal Name
CLOVER PHARMACY INC
Other Organization Name
CLOVER PHARMACY INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
259-357 SE PORT ST LUCIE BLVD PORT ST LUCIE, FL 34952
Location Phone
(772) 333-2585
Location Fax
(772) 333-2597
Mailing Address
259-357 SE PORT ST LUCIE BLVD PORT ST LUCIE, FL 34952
Mailing Phone
(772) 333-2585
Mailing Fax
(772) 333-2597
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2015
Last Update Date
02-04-2015
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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 Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
PH28830
License State
FL
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.

Insurance Plans Accepted

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

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

MIGUEL RAVELO

Authorized Official Title
OWNER
Authorized Official Phone
(772) 206-5054

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
2149942OTHER (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.
1548650088
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25881250016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 5 + 0 + 0 + 1 + 6 + 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 1548650088 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 1548650088, enumerated as an "organization" on February 04, 2015.

The provider is located at 259-357 SE PORT ST LUCIE BLVD PORT ST LUCIE, FL 34952 and the phone number is (772) 333-2585.

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

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