CENTRACARE PHARMACY HEALTH PLAZA
NPI 1578128021
Pharmacy - Specialty Pharmacy in St. Cloud, MN
NPI Status: Active since May 09, 2019
Contact Information
1900 CENTRACARE CIRCLE
SUITE 0550
ST. CLOUD, MN
ZIP 56303
Phone: (320) 229-4930
Fax: (320) 650-1778
- Organization
- Pharmacy
- Specialty Pharmacy
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 24D0957763
- CLIA Cert. Type: Other
- CLIA Exp. Date: 02-28-2027
About CENTRACARE PHARMACY HEALTH PLAZA
This page provides the complete NPI Profile along with additional information for Centracare Pharmacy Health Plaza, a provider established in St. Cloud, Minnesota operating as a Pharmacy, focusing in specialty pharmacy . The healthcare provider is registered in the NPI registry with number 1578128021 assigned on May 2019. The practitioner's primary taxonomy code is 3336S0011X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Centracare Pharmacy Health Plaza. The authorized official of this NPI record is Matthew P Kunkel (Vice President)
- NPI
- 1578128021
- Provider Legal Name
- ST CLOUD HOSPITAL
- Other Organization Name
- CENTRACARE PHARMACY HEALTH PLAZA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1900 CENTRACARE CIRCLE SUITE 0550 ST. CLOUD, MN 56303
- Location Phone
- (320) 229-4930
- Location Fax
- (320) 650-1778
- Mailing Address
- 1406 6TH AVENUE NORTH ST. CLOUD, MN 56303
- Mailing Phone
- (320) 229-4904
- Mailing Fax
- (320) 229-5168
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-09-2019
- Last Update Date
- 05-14-2021
- Code Navigator
Centracare Pharmacy Health Plaza is a medicare supplier with PTAN 20456381 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Blood Glucose Monitors/Supplies (Non-Mail Order) or Canes and/or Crutches or Walkers or Nebulizer Equipment and/or Supplies or Surgical Dressings.
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
Pharmacy Specialty Pharmacy
- Taxonomy Code
- 3336S0011X
- Type
- Suppliers
- Taxonomy Description
- A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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 |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20456381
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
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
- 24D0957763
- Facility Type
- Other
- Certificate Effective Date
- March 01, 2025
- Certificate Expiration Date
- February 28, 2027
- Laboratory Director
- DOROTHY LINDQUIST
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Centracare Pharmacy Health Plaza to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1578128021, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ST CLOUD, MN 56303
ST CLOUD, MN 56303
ST CLOUD, MN 56303
ST CLOUD, MN 56303
ST CLOUD, MN 56303
SAINT CLOUD, MN 56303
ST CLOUD, MN 56303
ST CLOUD, MN 56303
ST CLOUD, MN 56303
ST CLOUD, MN 56303
ST CLOUD, MN 56303
ST CLOUD, MN 56303
ST CLOUD, MN 56303
ST CLOUD, MN 56303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578128021, enumerated as an "organization" on May 09, 2019.
The provider is located at 1900 CENTRACARE CIRCLE SUITE 0550 ST. CLOUD, MN 56303 and the phone number is (320) 229-4930.
Pharmacy with taxonomy code 3336S0011X and a focus in Specialty Pharmacy.
