INCLUSIVE CARE CLINIC PHARMACY
NPI 1578312021
Clinic/Center - Multi-Specialty in Chubbuck, ID
NPI Status: Active since May 16, 2024
Contact Information
407 E CHUBBUCK RD
CHUBBUCK, ID
ZIP 83202
Phone: (208) 913-2273
Fax: (208) 567-5615
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 13D2307153
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 07-01-2026
About INCLUSIVE CARE CLINIC PHARMACY
This page provides the complete NPI Profile along with additional information for Inclusive Care Clinic Pharmacy, a provider established in Chubbuck, Idaho operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1578312021 assigned on May 2024. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Inclusive Care Clinic Pharmacy operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Inclusive Care Clinic Pharmacy. The authorized official of this NPI record is Dr. Alexandra Louise Heyneman Pharmd (Owner)
- NPI
- 1578312021
- Provider Legal Name
- INCLUSIVE CARE LLC
- Other Organization Name
- INCLUSIVE CARE CLINIC PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 407 E CHUBBUCK RD CHUBBUCK, ID 83202
- Location Phone
- (208) 913-2273
- Location Fax
- (208) 567-5615
- Mailing Address
- PO BOX 2851 POCATELLO, ID 83206
- Mailing Phone
- (208) 913-2273
- Mailing Fax
- (208) 567-5615
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2024
- Last Update Date
- 08-29-2024
- 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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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 | 1835P2201X | Pharmacy Service Providers | Pharmacist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 13D2307153
- Facility Type
- Pharmacy
- Certificate Effective Date
- July 02, 2024
- Certificate Expiration Date
- July 01, 2026
- Laboratory Director
- CATHERINE A. CASHMORE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Inclusive Care Clinic Pharmacy 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 1578312021, 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 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578312021, enumerated as an "organization" on May 16, 2024.
The provider is located at 407 E CHUBBUCK RD CHUBBUCK, ID 83202 and the phone number is (208) 913-2273.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
