GRASSROOTS MEDICAL SUPPLY
NPI 1750809836
Durable Medical Equipment & Medical Supplies in Winlsow, AZ

NPI Status: Active since September 08, 2017

Contact Information

NEC NAVAJO ROUTE 15 AND 60
SUITE #2
WINLSOW, AZ
ZIP 86047
Phone: (928) 421-5201

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About GRASSROOTS MEDICAL SUPPLY

This page provides the complete NPI Profile along with additional information for Grassroots Medical Supply, a provider established in Winlsow, Arizona operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1750809836 assigned on September 2017. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Brandon Michael Lester (Owner)

NPI
1750809836
Provider Name
GRASSROOTS MEDICAL SUPPLY
Entity Type
Organization
Location Address
NEC NAVAJO ROUTE 15 AND 60 SUITE #2 WINLSOW, AZ 86047
Location Phone
(928) 421-5201
Mailing Address
28 N. HIGHWAY 77 PMB 5105 HOLBROOK, AZ 86025
Mailing Phone
(928) 421-5201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2017
Last Update Date
09-08-2017
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

BRANDON MICHAEL LESTER

Authorized Official Title
OWNER
Authorized Official Phone
(928) 421-5201

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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.
1750809836
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001601886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 0 + 1 + 8 + 8 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1750809836 is valid because the calculated check digit 6 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 1750809836, enumerated as an "organization" on September 08, 2017.

The provider is located at NEC NAVAJO ROUTE 15 AND 60 SUITE #2 WINLSOW, AZ 86047 and the phone number is (928) 421-5201.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.