MASHANTUCKET PEQUOT TRIBAL
NPI 1720024524
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Mashantucket, CT
NPI Status: Active since June 21, 2006
Contact Information
1 ANNIE GEORGE DRIVE
BLDG 1
MASHANTUCKET, CT
ZIP 06338
Phone: (860) 396-6435
Fax: (800) 779-6329
- Organization
- Indian Health Service/Tribal/Urban India...
- Accepts Insurance
About MASHANTUCKET PEQUOT TRIBAL
This page provides the complete NPI Profile along with additional information for Mashantucket Pequot Tribal, a provider established in Mashantucket, Connecticut operating as a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The healthcare provider is registered in the NPI registry with number 1720024524 assigned on June 2006. The practitioner's primary taxonomy code is 332800000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1720024524
- Provider Legal Name
- MASHANTUCKET PEQUOT TRIBAL
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1 ANNIE GEORGE DRIVE BLDG 1 MASHANTUCKET, CT 06338
- Location Phone
- (860) 396-6435
- Location Fax
- (800) 779-6329
- Mailing Address
- 1 ANNIE GEORGE DRIVE BLDG 1 MASHANTUCKET, CT 06338
- Mailing Phone
- (860) 396-6435
- Mailing Fax
- (800) 779-6329
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-21-2006
- Last Update Date
- 04-16-2025
- 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
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Taxonomy Code
- 332800000X
- Type
- Suppliers
- Taxonomy Description
- An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy | |
| 2 | 3336M0002X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BSW Diabetes Care Gold HMO 014 - HMO
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 - HMO
- BSW Elite Gold HMO 012 - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 - HMO
- BSW Prime Silver HMO 005 - HMO
- BSW Savers Bronze HMO H S A 006 - HMO
- BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Savers Bronze HMO H S A 009 - HMO
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.
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 |
|---|---|---|---|
| 004129210 | MEDICAID (05) | CT | |
| 2000351 | OTHER (01) | PK |
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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 1720024524, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720024524, enumerated as an "organization" on June 21, 2006.
The provider is located at 1 ANNIE GEORGE DRIVE BLDG 1 MASHANTUCKET, CT 06338 and the phone number is (860) 396-6435.
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.
The provider might be accepting Accepts: Baylor Scott and White Health Plan, Medicare and. Please consult your insurance carrier or call the provider to verify.