SOPERTON PHARMACY, INC
NPI 1558339838
Durable Medical Equipment & Medical Supplies in Soperton, GA
NPI Status: Active since March 10, 2006
Contact Information
112 MAIN ST W
SOPERTON, GA
ZIP 30457
Phone: (912) 529-3234
Fax: (912) 529-6197
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 11D1022317
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 06-06-2026
About SOPERTON PHARMACY, INC
This page provides the complete NPI Profile along with additional information for Soperton Pharmacy, Inc, a provider established in Soperton, Georgia operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1558339838 assigned on March 2006. The practitioner's primary taxonomy code is 332B00000X with license number PHERE003318 (GA). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is E Wesley Crowe Rph (President)
- NPI
- 1558339838
- Provider Name
- SOPERTON PHARMACY, INC
- Entity Type
- Organization
- Location Address
- 112 MAIN ST W SOPERTON, GA 30457
- Location Phone
- (912) 529-3234
- Location Fax
- (912) 529-6197
- Mailing Address
- 112 MAIN ST W SOPERTON, GA 30457
- Mailing Phone
- (912) 529-3234
- Mailing Fax
- (912) 529-6197
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-10-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- PHERE003318
- License State
- GA
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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) |
|---|---|---|---|---|
| 1 | 3336C0003X | Suppliers | Pharmacy | PHRE003318 (GA) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D1022317
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- June 07, 2024
- Certificate Expiration Date
- June 06, 2026
- Laboratory Director
- EMILY TATUM
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Soperton Pharmacy, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1558339838, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558339838, enumerated as an "organization" on March 10, 2006.
The provider is located at 112 MAIN ST W SOPERTON, GA 30457 and the phone number is (912) 529-3234.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
