APPLING NURSING AND REHABILITATION PAVILION
NPI 1770719254
Pharmacy - Long Term Care Pharmacy in Baxley, GA

NPI Status: Active since June 10, 2009

Contact Information

163 E TOLLISON ST
BAXLEY, GA
ZIP 31513
Phone: (912) 367-9841
Fax: (912) 367-7203

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy
  • CLIA Number: 11D2191866
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 09-01-2026

About APPLING NURSING AND REHABILITATION PAVILION

This page provides the complete NPI Profile along with additional information for Appling Nursing And Rehabilitation Pavilion, a provider established in Baxley, Georgia operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1770719254 assigned on June 2009. The practitioner's primary taxonomy code is 3336L0003X with license number PHRE009554 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Appling Nursing And Rehabilitation Pavilion. The authorized official of this NPI record is Mrs. Elaine Pike (Chief Financial Officer)

NPI
1770719254
Provider Legal Name
THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY
Other Organization Name
APPLING NURSING AND REHABILITATION PAVILION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
163 E TOLLISON ST BAXLEY, GA 31513
Location Phone
(912) 367-9841
Location Fax
(912) 367-7203
Mailing Address
PO BOX 2070 BAXLEY, GA 31515
Mailing Phone
(912) 367-9841
Mailing Fax
(912) 367-7203
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-10-2009
Last Update Date
06-10-2009
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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
License No.
PHRE009554
License State
GA
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.

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

MRS. ELAINE PIKE

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(912) 367-9841

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
11D2191866
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 02, 2024
Certificate Expiration Date
September 01, 2026
Laboratory Director
ERROL G. GRAHAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Appling Nursing And Rehabilitation Pavilion 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 1770719254, 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
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9 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 + 4 + 0 + 1 + 4 + 1 + 1 + 8 + 2 + 1 + 0 + 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 1770719254.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
163 E TOLLISON ST
BAXLEY, GA 31513
Anesthesiologist Assistant
163 E TOLLISON ST
BAXLEY, GA 31513
Nurse Practitioner
163 E TOLLISON ST
BAXLEY, GA 31513
Internal Medicine (Pulmonary Disease)
163 E TOLLISON ST
BAXLEY, GA 31513
Surgery
163 E TOLLISON ST
BAXLEY, GA 31513
Internal Medicine
163 E TOLLISON ST
BAXLEY, GA 31513
Physician Assistant
163 E TOLLISON ST
BAXLEY, GA 31513
Registered Nurse (Psychiatric/Mental Health)
163 E TOLLISON ST
BAXLEY, GA 31513
Internal Medicine
163 E TOLLISON ST
BAXLEY, GA 31513
Pediatrics
163 E TOLLISON ST
BAXLEY, GA 31513
Pharmacy (Community/Retail Pharmacy)
163 E TOLLISON ST
BAXLEY, GA 31513
Psychiatric Unit
163 E TOLLISON ST
BAXLEY, GA 31513
Skilled Nursing Facility
163 E TOLLISON ST
BAXLEY, GA 31513
General Practice
163 E TOLLISON ST
BAXLEY, GA 31513
Medicare Defined Swing Bed Unit
163 E TOLLISON ST
BAXLEY, GA 31513
General Acute Care Hospital
163 E TOLLISON ST
BAXLEY, GA 31513

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770719254, enumerated as an "organization" on June 10, 2009.

The provider is located at 163 E TOLLISON ST BAXLEY, GA 31513 and the phone number is (912) 367-9841.

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