SUPER D EXPRESS RX #8407
NPI 1962549709
Durable Medical Equipment & Medical Supplies in Poplar Bluff, MO

NPI Status: Active since January 31, 2007

Contact Information

1465 N WESTWOOD BLVD
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 686-1461
Fax: (573) 785-0831

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About SUPER D EXPRESS RX #8407

This page provides the complete NPI Profile along with additional information for Super D Express Rx #8407, a provider established in Poplar Bluff, Missouri operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1962549709 assigned on January 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Super D Express Rx #8407. The authorized official of this NPI record is Gary Boone (Director Of Hme Operations)

NPI
1962549709
Provider Legal Name
SUPER D DRUGS ACQUISITION CO.
Other Organization Name
SUPER D EXPRESS RX #8407
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1465 N WESTWOOD BLVD POPLAR BLUFF, MO 63901
Location Phone
(573) 686-1461
Location Fax
(573) 785-0831
Mailing Address
803 HIGHWAY 71 N MENA, AR 71953
Mailing Phone
(479) 394-6363
Mailing Fax
(573) 785-0831
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2007
Last Update Date
01-09-2010
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

GARY BOONE

Authorized Official Title
DIRECTOR OF HME OPERATIONS
Authorized Official Phone
(479) 394-6363

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
620200402MEDICAID (05)MO 
1199580129MEDICARE NSC (07) 

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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 1962549709, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 6 → 12 → 3 5 → 10 → 1 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 1 + 0 + 4 + 1 + 8 + 7 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1962549709.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pharmacist
1465 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Pharmacy (Community/Retail Pharmacy)
1465 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Durable Medical Equipment & Medical Supplies
1465 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962549709, enumerated as an "organization" on January 31, 2007.

The provider is located at 1465 N WESTWOOD BLVD POPLAR BLUFF, MO 63901 and the phone number is (573) 686-1461.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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