AFFILIATED DERMATOLOGY
NPI 1619428851
Non-Pharmacy Dispensing Site in Anthem, AZ
NPI Status: Active since October 24, 2016
Contact Information
41810 N VENTURE DR
SUITE D136
ANTHEM, AZ
ZIP 85086
Phone: (480) 556-0446
Fax: (480) 223-6850
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 03D1097352
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-17-2028
About AFFILIATED DERMATOLOGY
This page provides the complete NPI Profile along with additional information for Affiliated Dermatology, a provider established in Anthem, Arizona operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1619428851 assigned on October 2016. The practitioner's primary taxonomy code is 332900000X with license number 34857 (AZ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Affiliated Dermatology. The authorized official of this NPI record is Marlie Averitte (Cfo)
- NPI
- 1619428851
- Provider Legal Name
- RICHARD LEE AVERITTE JR., PLLC
- Other Organization Name
- AFFILIATED DERMATOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 41810 N VENTURE DR SUITE D136 ANTHEM, AZ 85086
- Location Phone
- (480) 556-0446
- Location Fax
- (480) 223-6850
- Mailing Address
- 20401 N 73RD ST SUITE 230 SCOTTSDALE, AZ 85255
- Mailing Phone
- (480) 556-0446
- Mailing Fax
- (480) 223-6850
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-24-2016
- Last Update Date
- 10-24-2016
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- 34857
- License State
- AZ
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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
- 03D1097352
- Facility Type
- Physician Office
- Certificate Effective Date
- February 18, 2026
- Certificate Expiration Date
- February 17, 2028
- Laboratory Director
- JASON A. BARR
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Affiliated Dermatology after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for AFFILIATED DERMATOLOGY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1619428851, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619428851, enumerated as an "organization" on October 24, 2016.
The provider is located at 41810 N VENTURE DR SUITE D136 ANTHEM, AZ 85086 and the phone number is (480) 556-0446.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
