INDEX PARK PHARMACY
NPI 1912334343
Pharmacy - Community/Retail Pharmacy in Lincoln Park, MI

NPI Status: Active since September 30, 2013

Contact Information

2255 FORT ST
INDEX PARK PHARMACY
LINCOLN PARK, MI
ZIP 48146
Phone: (313) 357-7500
Fax: (313) 347-8998

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Accepts Insurance

About INDEX PARK PHARMACY

This page provides the complete NPI Profile along with additional information for Index Park Pharmacy, a provider established in Lincoln Park, Michigan operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1912334343 assigned on September 2013. The practitioner's primary taxonomy code is 3336C0003X with license number 5301010202 (MI). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Index Park Pharmacy. The authorized official of this NPI record is Khajendranath Atluri (Agent)

NPI
1912334343
Provider Legal Name
SRISIRI PHARMA INC
Other Organization Name
INDEX PARK PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2255 FORT ST INDEX PARK PHARMACY LINCOLN PARK, MI 48146
Location Phone
(313) 357-7500
Location Fax
(313) 347-8998
Mailing Address
190 HADSELL DR BLOOMFIELD HILLS, MI 48302
Mailing Phone
(248) 953-2331
Mailing Fax
(313) 347-8998
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2013
Last Update Date
09-25-2019
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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 Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
5301010202
License State
MI
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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)
13336L0003XSuppliers

Pharmacy
Long Term Care Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Standard - EPO
  • Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Bronze Premier - EPO
  • Medica with MU Health Care Expanded Bronze Standard - EPO
  • Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Gold Share - EPO
  • Medica with MU Health Care Gold Standard - EPO
  • Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Silver Share - EPO
  • Medica with MU Health Care Silver Standard - EPO
  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO

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

KHAJENDRANATH ATLURI

Authorized Official Title
AGENT
Authorized Official Phone
(248) 953-2331

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
2378405OTHER (01)MINCPDP

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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 1912334343, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 1 → 2 3 → 6 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 6 + 3 + 8 + 3 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1912334343.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
2255 FORT ST
LINCOLN PARK, MI 48146
Pharmacy (Community/Retail Pharmacy)
2255 FORT ST
LINCOLN PARK, MI 48146
Pharmacy (Community/Retail Pharmacy)
2255 FORT ST
LINCOLN PARK, MI 48146
Nurse Practitioner (Family)
2255 FORT ST
LINCOLN PARK, MI 48146
Nurse Practitioner (Family)
2255 FORT ST
LINCOLN PARK, MI 48146

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912334343, enumerated as an "organization" on September 30, 2013.

The provider is located at 2255 FORT ST INDEX PARK PHARMACY LINCOLN PARK, MI 48146 and the phone number is (313) 357-7500.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

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