EASTGATE PHARMACY
NPI 1659485639
Pharmacy - Community/Retail Pharmacy in Grand Rapids, MI

NPI Status: Active since August 18, 2006

Contact Information

2026 BOSTON ST SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 452-9734
Fax: (616) 452-7255

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About EASTGATE PHARMACY

This page provides the complete NPI Profile along with additional information for Eastgate Pharmacy, a provider established in Grand Rapids, Michigan operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1659485639 assigned on August 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 5301002051 (MI). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Eastgate Pharmacy. The authorized official of this NPI record is Ward Duyser (Owner)

NPI
1659485639
Provider Legal Name
WANK ENTERPRISES
Other Organization Name
EASTGATE PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2026 BOSTON ST SE GRAND RAPIDS, MI 49506
Location Phone
(616) 452-9734
Location Fax
(616) 452-7255
Mailing Address
2026 BOSTON ST SE GRAND RAPIDS, MI 49506
Mailing Phone
(616) 452-9734
Mailing Fax
(616) 452-7255
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2006
Last Update Date
10-13-2009
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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 Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
5301002051
License State
MI
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

WARD DUYSER

Authorized Official Title
OWNER
Authorized Official Phone
(616) 452-9734

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0850160001MEDICAID (05)MI 
0850160001MEDICARE NSC (07) 
2306187OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659485639
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26109881066
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 8 + 8 + 1 + 0 + 6 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1659485639 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659485639, enumerated as an "organization" on August 18, 2006.

The provider is located at 2026 BOSTON ST SE GRAND RAPIDS, MI 49506 and the phone number is (616) 452-9734.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

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