AETNA SPECIALTY PHARMACY, LLC
NPI 1942203187
Pharmacy - Specialty Pharmacy in Orlando, FL

NPI Status: Active since May 23, 2005

Contact Information

503 SUNPORT LANE
ORLANDO, FL
ZIP 32809
Phone: (407) 513-6400
Fax: (866) 329-2779

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  • Organization
  • Pharmacy
  • Specialty Pharmacy

About AETNA SPECIALTY PHARMACY, LLC

This page provides the complete NPI Profile along with additional information for Aetna Specialty Pharmacy, Llc, a provider established in Orlando, Florida operating as a Pharmacy, focusing in specialty pharmacy . The healthcare provider is registered in the NPI registry with number 1942203187 assigned on May 2005. The practitioner's primary taxonomy code is 3336S0011X with license number PH21035 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Jean R. Carney (Sr. Pharmacy Ops Mgr)

NPI
1942203187
Provider Name
AETNA SPECIALTY PHARMACY, LLC
Entity Type
Organization
Location Address
503 SUNPORT LANE ORLANDO, FL 32809
Location Phone
(407) 513-6400
Location Fax
(866) 329-2779
Mailing Address
503 SUNPORT LANE ORLANDO, FL 32809
Mailing Phone
(407) 513-6400
Mailing Fax
(866) 329-2779
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2005
Last Update Date
05-19-2014
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Location Map

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 Specialty Pharmacy

Taxonomy Code
3336S0011X
Type
Suppliers
License No.
PH21035
License State
FL
Taxonomy Description
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

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)
13336H0001XSuppliers

Pharmacy
Home Infusion Therapy Pharmacy

PH21035 (FL)

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.

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

JEAN R. CARNEY

Authorized Official Title
SR. PHARMACY OPS MGR
Authorized Official Phone
(407) 513-6495

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
=========001MEDICAID (05)IL 
5328000002MEDICARE NSC (07) 
1942203187MEDICAID (05)VA 
200369680AMEDICAID (05)KS 
432182200MEDICAID (05)ME 
057738300MEDICAID (05)MN 
035123MEDICAID (05)AZ 
7F1035MEDICAID (05)SC 
=========001MEDICAID (05)UT 
0215059MEDICAID (05)MT 
200077510AMEDICAID (05)OK 
35123MEDICAID (05)AZ 
807415000MEDICAID (05)ID 
3726379OTHER (01)AETNA HEALTHCARE HMO CLAIMS
1016502540001MEDICAID (05)PA 
030961300MEDICAID (05)FL 
PH575FLMEDICAID (05)AK 
U4870MEDICARE PIN (08)FL 
411068400MEDICAID (05)MD 
582713MEDICAID (05)HI 
1714655OTHER (01)AETNA HEALTHCARE
38457750MEDICAID (05)NM 
100508643MEDICAID (05)NV 
0720789MEDICAID (05)IA 
6029037MEDICAID (05)WA 
5328000002MEDICARE PIN (08) 
7446672OTHER (01)AETNA HEALTHCARE DIEM CLM
3726379OTHER (01)AETNA HEALTHCARE HMO CLMS
7446672OTHER (01)AETNA HEALTHCARE DIEM CLAIM
200808960AMEDICAID (05)IN 

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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 1942203187, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 4 → 8 2 → 4 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 8 + 2 + 4 + 0 + 6 + 1 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1942203187.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942203187, enumerated as an "organization" on May 23, 2005.

The provider is located at 503 SUNPORT LANE ORLANDO, FL 32809 and the phone number is (407) 513-6400.

Pharmacy with taxonomy code 3336S0011X and a focus in Specialty Pharmacy.

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