TULALIP CLINICAL PHARMACY
NPI 1710413224
Pharmacy - Community/Retail Pharmacy in Quil Ceda Village, WA

NPI Status: Active since May 03, 2017

Contact Information

8825 34TH AVE NE
SUITE A
QUIL CEDA VILLAGE, WA
ZIP 98271
Phone: (360) 716-2660

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • CLIA Number: 50D2023494
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 04-04-2028

About TULALIP CLINICAL PHARMACY

This page provides the complete NPI Profile along with additional information for Tulalip Clinical Pharmacy, a provider established in Quil Ceda Village, Washington operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1710413224 assigned on May 2017. The practitioner's primary taxonomy code is 3336C0003X with license number PHAR.CF.00055944 (WA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Kelvin Lee (Pharmacy Director)

NPI
1710413224
Provider Name
TULALIP CLINICAL PHARMACY
Entity Type
Organization
Location Address
8825 34TH AVE NE SUITE A QUIL CEDA VILLAGE, WA 98271
Location Phone
(360) 716-2660
Mailing Address
8825 34TH AVE NE SUITE A QUIL CEDA VILLAGE, WA 98271
Mailing Phone
(360) 716-2660
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2017
Last Update Date
05-03-2017
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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.
PHAR.CF.00055944
License State
WA
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

KELVIN LEE

Authorized Official Title
PHARMACY DIRECTOR
Authorized Official Phone
(360) 716-2660

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
6019939MEDICAID (05)WA 

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
50D2023494
Facility Type
Pharmacy
Certificate Effective Date
April 25, 2011
Certificate Expiration Date
April 04, 2028
Laboratory Director
KELVIN LEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tulalip Clinical 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 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 1710413224, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 8 + 1 + 6 + 2 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1710413224.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
8825 34TH AVE NE, STE. A
TULALIP, WA 98271
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
8825 34TH AVE NE, SUITE A
TULALIP, WA 98271
Pharmacist
8825 34TH AVE NE, SUITE A
TULALIP, WA 98271
Reflexologist
8825 34TH AVE NE, L-210
TULALIP, WA 98271
Pharmacist
8825 34TH AVE NE, SUITE A
TULALIP, WA 98271
Pharmacist
8825 34TH AVE NE, A
TULALIP, WA 98271
Pharmacist
8825 34TH AVE NE, SUITE A
TULALIP, WA 98271
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
8825 34TH AVE NE, SUITE A
TULALIP, WA 98271

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710413224, enumerated as an "organization" on May 03, 2017.

The provider is located at 8825 34TH AVE NE SUITE A QUIL CEDA VILLAGE, WA 98271 and the phone number is (360) 716-2660.

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.