PHYSICIANS PARK PHARMACY LTC
NPI 1780830455
Pharmacy - Long Term Care Pharmacy in Poplar Bluff, MO

NPI Status: Active since August 14, 2008

Contact Information

225 PHYSICIANS PARK
STE 100A
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 778-9238
Fax: (573) 778-9582

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy

About PHYSICIANS PARK PHARMACY LTC

This page provides the complete NPI Profile along with additional information for Physicians Park Pharmacy Ltc, a provider established in Poplar Bluff, Missouri operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1780830455 assigned on August 2008. The practitioner's primary taxonomy code is 3336L0003X with license number 2008022112 (MO). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Physicians Park Pharmacy Ltc. The authorized official of this NPI record is Roy Winters (Pic)

NPI
1780830455
Provider Legal Name
PHYSICIAN PARK INVESTMENT COMPANY
Other Organization Name
PHYSICIANS PARK PHARMACY LTC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
225 PHYSICIANS PARK STE 100A POPLAR BLUFF, MO 63901
Location Phone
(573) 778-9238
Location Fax
(573) 778-9582
Mailing Address
225 PHYSICIANS PARK STE 100A POPLAR BLUFF, MO 63901
Mailing Phone
(573) 778-9238
Mailing Fax
(573) 778-9582
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2008
Last Update Date
09-13-2009
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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.
2008022112
License State
MO
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

ROY WINTERS

Authorized Official Title
PIC
Authorized Official Phone
(573) 778-9238

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
2638142OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER

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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 1780830455, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 8 → 16 → 7 8 → 16 → 7 0 → 0 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 + 6 + 0 + 1 + 6 + 3 + 0 + 4 + 1 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1780830455.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
225 PHYSICIANS PARK, SUITE 400
POPLAR BLUFF, MO 63901
Internal Medicine
225 PHYSICIANS PARK, SUITE 400
POPLAR BLUFF, MO 63901
Clinic/Center (Rural Health)
225 PHYSICIANS PARK, SUITE 400
POPLAR BLUFF, MO 63901
Internal Medicine
225 PHYSICIANS PARK, SUITE 400
POPLAR BLUFF, MO 63901
Clinic/Center (Rural Health)
225 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
225 PHYSICIANS PARK, SUITE 203
POPLAR BLUFF, MO 63901
Surgery
225 PHYSICIANS PARK, SUITE 204
POPLAR BLUFF, MO 63901
Physical Therapist
225 PHYSICIANS PARK, SUITE 101
POPLAR BLUFF, MO 63901
Physical Therapist
225 PHYSICIANS PARK, SUITE 101
POPLAR BLUFF, MO 63901
Nurse Practitioner
225 PHYSICIANS PARK, SUITE 400
POPLAR BLUFF, MO 63901
Nurse Practitioner
225 PHYSICIANS PARK, SUITE 203
POPLAR BLUFF, MO 63901
In Home Supportive Care
225 PHYSICIANS PARK, SUITE 301
POPLAR BLUFF, MO 63901
Neurological Surgery
225 PHYSICIANS PARK, SUITE 102
POPLAR BLUFF, MO 63901
Psychologist (Clinical)
225 PHYSICIANS PARK, STE 300
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
225 PHYSICIANS PARK, STE 203
POPLAR BLUFF, MO 63901
Physician Assistant
225 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
Physical Therapist (Orthopedic)
225 PHYSICIANS PARK, SUITE 101
POPLAR BLUFF, MO 63901
Internal Medicine
225 PHYSICIANS PARK, SUITE 400
POPLAR BLUFF, MO 63901
Internal Medicine
225 PHYSICIANS PARK, SUITE 400
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
225 PHYSICIANS PARK
POPLAR BLUFF, MO 63901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780830455, enumerated as an "organization" on August 14, 2008.

The provider is located at 225 PHYSICIANS PARK STE 100A POPLAR BLUFF, MO 63901 and the phone number is (573) 778-9238.

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.