ALACO DISCOUNTY PHARMACY NPI 1922116615
Pharmacy - Community/Retail Pharmacy in Centre, AL

Organization Pharmacy Community/Retail Pharmacy Medicare Supplier Accepts Medicare Approved Payment CLIA Number 01D2175062 CLIA Certificate of Waiver

About ALACO DISCOUNTY PHARMACY

Alaco Discounty Pharmacy is a provider established in Centre, Alabama specializing in Pharmacy with a focus in community/retail pharmacy . The NPI number of Alaco Discounty Pharmacy is 1922116615 and was assigned on August 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 101053 (AL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Alaco Discounty Pharmacy. The authorized official of this NPI record is Jeff S Graves Rph (President)

NPI
1922116615
Provider NameALACO DISCOUNTY PHARMACY
Provider Location Address1490 CHESNUT BYPASS CENTRE, AL 35960
Provider Mailing Address102 JD SMITH DRIVE ALACO WAREHOUSE - BUSINESS OFFICE ATTALLA, AL 35954
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameALACO DISCOUNTY PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date08-25-2006
Last Update Date12-20-2019



Alaco Discounty Pharmacy is a medicare supplier with PTAN 0998570001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Canes and/or Crutches or Walkers or Orthoses: Off-The-Shelf.

The CLIA number of Alaco Discounty Pharmacy is 01D2175062 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Alaco Discounty Pharmacy 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.



Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.101053
License StateAL
Taxonomy DescriptionA 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.

Business Address

ALACO DISCOUNTY PHARMACY
1490 CHESNUT BYPASS
CENTRE, AL
ZIP 35960
Phone: (256) 927-8539
Fax: (256) 927-8588

Get Directions


Mailing Address

ALACO DISCOUNTY PHARMACY
102 JD SMITH DRIVE
ALACO WAREHOUSE - BUSINESS OFFICE
ATTALLA, AL
ZIP 35954
Phone: (256) 538-5697
Fax: (256) 538-0239


Authorized Official

Authorized Official Name JEFF S GRAVES RPH
Authorized Official TitlePRESIDENT
Authorized Official Phone(256) 927-8539

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN0998570001
Accepts Medicare AssignmentYES
Specialities ListPharmacy.
Supplies List
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
Competitive BiddingNO

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 the NPI number 1922116615 is:

CLIA Number01D2175062
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0111497OTHER (01)ALNABP#
100001380MEDICAID (05)AL

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.
1922116615
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942211262
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 2 + 1 + 1 + 2 + 6 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1922116615 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518170398MR. JEFF GRAVES R.PH.
Individual
Pharmacist1490 CHESNUT BYPASS
CENTRE, AL 35960
(256) 927-8539

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Alaco Discounty Pharmacy is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.