AFFINIA HEALTHCARE FERGUSON
NPI 1588445894
Pharmacy - Clinic Pharmacy in Saint Louis, MO

NPI Status: Active since October 12, 2023

Contact Information

3396 PERSHALL RD.
SAINT LOUIS, MO
ZIP 63135
Phone: (314) 814-8700
Fax: (314) 814-8542

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  • Organization
  • Pharmacy
  • Clinic Pharmacy
  • CLIA Number: 26D1046059
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 05-30-2027

About AFFINIA HEALTHCARE FERGUSON

This page provides the complete NPI Profile along with additional information for Affinia Healthcare Ferguson, a provider established in Saint Louis, Missouri operating as a Pharmacy, focusing in clinic pharmacy . The healthcare provider is registered in the NPI registry with number 1588445894 assigned on October 2023. The practitioner's primary taxonomy code is 3336C0002X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Corinthia Darcel Jamison (Credentialing Coordinator)

NPI
1588445894
Provider Name
AFFINIA HEALTHCARE FERGUSON
Entity Type
Organization
Location Address
3396 PERSHALL RD. SAINT LOUIS, MO 63135
Location Phone
(314) 814-8700
Location Fax
(314) 814-8542
Mailing Address
PO BOX 551 SAINT LOUIS, MO 63188
Mailing Phone
(314) 814-8531
Mailing Fax
(314) 814-8542
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2023
Last Update Date
10-12-2023
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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 Clinic Pharmacy

Taxonomy Code
3336C0002X
Type
Suppliers
Taxonomy Description
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

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

CORINTHIA DARCEL JAMISON

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(314) 814-8531

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
26D1046059
Facility Type
Federally Qualified Health Center
Certificate Effective Date
May 31, 2025
Certificate Expiration Date
May 30, 2027
Laboratory Director
MELISSA D. TEPE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Affinia Healthcare Ferguson 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 1588445894, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 4 → 8 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 8 + 4 + 1 + 0 + 8 + 1 + 8 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1588445894.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588445894, enumerated as an "organization" on October 12, 2023.

The provider is located at 3396 PERSHALL RD. SAINT LOUIS, MO 63135 and the phone number is (314) 814-8700.

Pharmacy with taxonomy code 3336C0002X and a focus in Clinic Pharmacy.