CRESTLINE PHARMACY LTC
NPI 1659446458
Pharmacy - Long Term Care Pharmacy in Mountain Brk, AL

NPI Status: Active since November 21, 2006

Contact Information

60 CHURCH ST
MOUNTAIN BRK, AL
ZIP 35213
Phone: (205) 871-0317
Fax: (205) 871-9756

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy
  • Accepts Insurance
  • CLIA Number: 01D2187485
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 07-01-2026

About CRESTLINE PHARMACY LTC

This page provides the complete NPI Profile along with additional information for Crestline Pharmacy Ltc, a provider established in Mountain Brk, Alabama operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1659446458 assigned on November 2006. The practitioner's primary taxonomy code is 3336L0003X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Crestline Pharmacy Ltc. The authorized official of this NPI record is Dr. Matthew Scott Leach Pharmd (Owner)

NPI
1659446458
Provider Legal Name
LEACH PHARMACIES, LLC
Other Organization Name
CRESTLINE PHARMACY LTC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
60 CHURCH ST MOUNTAIN BRK, AL 35213
Location Phone
(205) 871-0317
Location Fax
(205) 871-9756
Mailing Address
60 CHURCH STREET BIRMINGHAM, AL 35213
Mailing Phone
(205) 871-0317
Mailing Fax
(205) 871-9756
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2006
Last Update Date
02-14-2024
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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 Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
Taxonomy Description
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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)
13336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

102890 (AL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. MATTHEW SCOTT LEACH PHARMD

Authorized Official Title
OWNER
Authorized Official Phone
(205) 871-0317

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
01D2187485
Facility Type
Pharmacy
Certificate Effective Date
July 02, 2024
Certificate Expiration Date
July 01, 2026
Laboratory Director
MATTHEW LEACH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Crestline Pharmacy Ltc 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 1659446458, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 5 → 10 → 1 4 → 8 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 0 + 9 + 8 + 4 + 1 + 2 + 4 + 1 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1659446458.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Pharmacist
60 CHURCH ST
BIRMINGHAM, AL 35213
Pharmacist
60 CHURCH ST
BIRMINGHAM, AL 35213
Pharmacist
60 CHURCH ST
BIRMINGHAM, AL 35213
Pharmacist
60 CHURCH ST
MOUNTAIN BRK, AL 35213
Pharmacy (Community/Retail Pharmacy)
60 CHURCH ST
MOUNTAIN BRK, AL 35213
Pharmacist
60 CHURCH ST
MOUNTAIN BRK, AL 35213
Pharmacy (Long Term Care Pharmacy)
60 CHURCH ST
MOUNTAIN BRK, AL 35213
Pharmacist
60 CHURCH ST
MOUNTAIN BRK, AL 35213
Pharmacist
60 CHURCH ST
MOUNTAIN BRK, AL 35213
Pharmacist
60 CHURCH ST
MOUNTAIN BRK, AL 35213
Pharmacist
60 CHURCH ST
MOUNTAIN BRK, AL 35213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659446458, enumerated as an "organization" on November 21, 2006.

The provider is located at 60 CHURCH ST MOUNTAIN BRK, AL 35213 and the phone number is (205) 871-0317.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.