COMMUNITY FAMILY CLINIC PHARMACY
NPI 1700542255
Pharmacy - Community/Retail Pharmacy in Idaho Falls, ID
NPI Status: Active since November 09, 2021
Contact Information
2100 ALAN STREET
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 528-7655
- Organization
- Pharmacy
- Community/Retail Pharmacy
- CLIA Number: 13D2308961
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 08-06-2026
About COMMUNITY FAMILY CLINIC PHARMACY
This page provides the complete NPI Profile along with additional information for Community Family Clinic Pharmacy, a provider established in Idaho Falls, Idaho operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1700542255 assigned on November 2021. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Community Family Clinic Pharmacy. The authorized official of this NPI record is Troy Coulson Pharmd (Pharmacy Director)
- NPI
- 1700542255
- Provider Legal Name
- COMMUNITY COUNCIL OF IDAHO, INC
- Other Organization Name
- COMMUNITY FAMILY CLINIC PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2100 ALAN STREET IDAHO FALLS, ID 83404
- Location Phone
- (208) 528-7655
- Mailing Address
- 2100 ALAN ST IDAHO FALLS, ID 83404
- Mailing Phone
- (208) 470-7979
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-09-2021
- Last Update Date
- 04-04-2023
- 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
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- 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.
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
- 13D2308961
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- August 07, 2024
- Certificate Expiration Date
- August 06, 2026
- Laboratory Director
- JOSHUA STRINGAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Community Family Clinic Pharmacy 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 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. | |||||||||
| 1 | 7 | 0 | 0 | 5 | 4 | 2 | 2 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 10 | 4 | 4 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 0 + 4 + 4 + 2 + 1 + 0 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1700542255 is valid because the calculated check digit 5 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 1700542255, enumerated as an "organization" on November 09, 2021.
The provider is located at 2100 ALAN STREET IDAHO FALLS, ID 83404 and the phone number is (208) 528-7655.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
