LACEY SQUARE PHARMACY INC
NPI 1750948956
Pharmacy - Long Term Care Pharmacy in Lacey, WA

NPI Status: Active since May 22, 2019

Contact Information

6020 PACIFIC AVE SE STE C
LACEY, WA
ZIP 98503
Phone: (425) 251-6335
Fax: (425) 251-6337

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy

About LACEY SQUARE PHARMACY INC

This page provides the complete NPI Profile along with additional information for Lacey Square Pharmacy Inc, a provider established in Lacey, Washington operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1750948956 assigned on May 2019. The practitioner's primary taxonomy code is 3336L0003X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Anderson Shawn Jolly Rph (President)

NPI
1750948956
Provider Name
LACEY SQUARE PHARMACY INC
Entity Type
Organization
Location Address
6020 PACIFIC AVE SE STE C LACEY, WA 98503
Location Phone
(425) 251-6335
Location Fax
(425) 251-6337
Mailing Address
1412 SW 43RD ST STE 120 RENTON, WA 98057
Mailing Phone
(425) 251-6335
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2019
Last Update Date
05-22-2019
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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 Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
Taxonomy Description
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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

MR. ANDERSON SHAWN JOLLY RPH

Authorized Official Title
PRESIDENT
Authorized Official Phone
(425) 251-6335

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
PHAR.CF.60953133OTHER (01)WAWA PHARMACY LICENSE

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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 1750948956, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
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 9 → 18 → 9 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 1 + 8 + 4 + 1 + 6 + 9 + 1 + 0 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1750948956.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6020 PACIFIC AVE SE STE C
LACEY, WA 98503
Pharmacist
6020 PACIFIC AVE SE STE C
LACEY, WA 98503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750948956, enumerated as an "organization" on May 22, 2019.

The provider is located at 6020 PACIFIC AVE SE STE C LACEY, WA 98503 and the phone number is (425) 251-6335.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.