111TH PHARMA-FAMILY
NPI 1659616175
Clinic/Center - Health Service in Chicago, IL

NPI Status: Active since December 10, 2012

Contact Information

11101 S STATE ST
CHICAGO, IL
ZIP 60628
Phone: (708) 503-9845

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  • Organization
  • Clinic/Center
  • Health Service

About 111TH PHARMA-FAMILY

This page provides the complete NPI Profile along with additional information for 111th Pharma-family, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1659616175 assigned on December 2012. The practitioner's primary taxonomy code is 261QH0100X with license number 051035317 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Ms. Adele Vanjackson Rph (Owner/pharmacist)

NPI
1659616175
Provider Name
111TH PHARMA-FAMILY
Entity Type
Organization
Location Address
11101 S STATE ST CHICAGO, IL 60628
Location Phone
(708) 503-9845
Mailing Address
11101 S STATE ST CHICAGO, IL 60628
Mailing Phone
(708) 503-9845
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-10-2012
Last Update Date
12-10-2012
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
051035317
License State
IL

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

MS. ADELE VANJACKSON RPH

Authorized Official Title
OWNER/PHARMACIST
Authorized Official Phone
(708) 503-9845

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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 1659616175, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 5 → 10 → 1 6 → 12 → 3 6 → 12 → 3 7 → 14 → 5

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 + 1 + 2 + 1 + 1 + 2 + 1 + 1 + 4 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1659616175.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Family Medicine
11101 S STATE ST
CHICAGO, IL 60628
Surgery
11101 S STATE ST
CHICAGO, IL 60628
Pharmacy (Community/Retail Pharmacy)
11101 S STATE ST
CHICAGO, IL 60628
Clinic/Center (Multi-Specialty)
11101 S STATE ST
CHICAGO, IL 60628
Internal Medicine
11101 S STATE ST
CHICAGO, IL 60628
Internal Medicine
11101 S STATE ST
CHICAGO, IL 60628
Family Medicine
11101 S STATE ST
CHICAGO, IL 60628

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659616175, enumerated as an "organization" on December 10, 2012.

The provider is located at 11101 S STATE ST CHICAGO, IL 60628 and the phone number is (708) 503-9845.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.