PRIMECARE URGENT CARE CENTERS TWIN LAKES
NPI 1649601485
Non-Pharmacy Dispensing Site in Daytona Beach, FL

NPI Status: Active since December 04, 2013

Contact Information

1890 LPGA BLVD
SUITE 130
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 274-2212

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 10D1087468
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-04-2026

About PRIMECARE URGENT CARE CENTERS TWIN LAKES

This page provides the complete NPI Profile along with additional information for Primecare Urgent Care Centers Twin Lakes, a provider established in Daytona Beach, Florida operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1649601485 assigned on December 2013. The practitioner's primary taxonomy code is 332900000X with license number ME67318 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Primecare Urgent Care Centers Twin Lakes. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)

NPI
1649601485
Provider Legal Name
PRIMECARE ACQUISITION INC
Other Organization Name
PRIMECARE URGENT CARE CENTERS TWIN LAKES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1890 LPGA BLVD SUITE 130 DAYTONA BEACH, FL 32117
Location Phone
(386) 274-2212
Mailing Address
5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-04-2013
Last Update Date
05-12-2014
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
ME67318
License State
FL
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.)

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

KENNY HEINE

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(858) 964-1506

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
10D1087468
Facility Type
Physician Office
Certificate Effective Date
August 05, 2024
Certificate Expiration Date
August 04, 2026
Laboratory Director
J CAROL GRIGG MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Primecare Urgent Care Centers Twin Lakes 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 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 1649601485, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 4 → 8 6 → 12 → 3 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 8 + 9 + 1 + 2 + 0 + 2 + 4 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1649601485.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery (Vascular Surgery)
1890 LPGA BLVD, STE 250
DAYTONA BEACH, FL 32117
Plastic Surgery
1890 LPGA BLVD, SUITE 150
DAYTONA BEACH, FL 32117
Anesthesiology (Pain Medicine)
1890 LPGA BLVD, SUITE 210
DAYTONA BEACH, FL 32117
Obstetrics & Gynecology
1890 LPGA BLVD, STE. 160
DAYTONA BEACH, FL 32117
Obstetrics & Gynecology
1890 LPGA BLVD, STE. 160
DAYTONA BEACH, FL 32117
Radiology (Diagnostic Radiology)
1890 LPGA BLVD, SUITE 110
DAYTONA BEACH, FL 32117
Nurse Anesthetist, Certified Registered
1890 LPGA BLVD, SUITE 210
DAYTONA BEACH, FL 32117
Specialist
1890 LPGA BLVD, SUITE 210
DAYTONA BEACH, FL 32117
Nurse Anesthetist, Certified Registered
1890 LPGA BLVD, SUITE 210
DAYTONA BEACH, FL 32117
Podiatrist (Foot & Ankle Surgery)
1890 LPGA BLVD, SUITE 230
DAYTONA BEACH, FL 32117
Nurse Anesthetist, Certified Registered
1890 LPGA BLVD, SUITE 200
DAYTONA BEACH, FL 32117
Podiatrist (Foot & Ankle Surgery)
1890 LPGA BLVD, SUITE 230
DAYTONA BEACH, FL 32117
Nurse Anesthetist, Certified Registered
1890 LPGA BLVD, SUITE 210
DAYTONA BEACH, FL 32117
Specialist
1890 LPGA BLVD, SUITE 150
DAYTONA BEACH, FL 32117
Family Medicine
1890 LPGA BLVD, 170
DAYTONA BEACH, FL 32117
Family Medicine
1890 LPGA BLVD, 170
DAYTONA BEACH, FL 32117
Specialist
1890 LPGA BLVD, SUITE 250
DAYTONA BEACH, FL 32117
Radiology (Vascular & Interventional Radiology)
1890 LPGA BLVD, SUITE 140
DAYTONA BEACH, FL 32117
Family Medicine
1890 LPGA BLVD, SUITE 130
DAYTONA BEACH, FL 32117
Radiology (Vascular & Interventional Radiology)
1890 LPGA BLVD, SUITE 140
DAYTONA BEACH, FL 32117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649601485, enumerated as an "organization" on December 04, 2013.

The provider is located at 1890 LPGA BLVD SUITE 130 DAYTONA BEACH, FL 32117 and the phone number is (386) 274-2212.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.