MEDICAL CENTER WEST COMPDING LAB
NPI 1063669315
Pharmacy - Compounding Pharmacy in Evans, GA
NPI Status: Active since August 19, 2008
Contact Information
465 N BELAIR RD
1A2
EVANS, GA
ZIP 30809
Phone: (706) 855-5502
Fax: (706) 854-2425
- Organization
- Pharmacy
- Compounding Pharmacy
About MEDICAL CENTER WEST COMPDING LAB
This page provides the complete NPI Profile along with additional information for Medical Center West Compding Lab, a provider established in Evans, Georgia operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1063669315 assigned on August 2008. The practitioner's primary taxonomy code is 3336C0004X with license number PHRE009484 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Medical Center West Compding Lab. The authorized official of this NPI record is Kyle W Pulliam (Pharmacist)
- NPI
- 1063669315
- Provider Legal Name
- MEDEQUIP HEALTH CORP
- Other Organization Name
- MEDICAL CENTER WEST COMPDING LAB
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 465 N BELAIR RD 1A2 EVANS, GA 30809
- Location Phone
- (706) 855-5502
- Location Fax
- (706) 854-2425
- Mailing Address
- 465 N BELAIR RD STE 1A2 EVANS, GA 30809
- Mailing Phone
- (706) 855-5502
- Mailing Fax
- (706) 854-2425
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-19-2008
- Last Update Date
- 08-19-2008
- Code Navigator
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 Compounding Pharmacy
- Taxonomy Code
- 3336C0004X
- Type
- Suppliers
- License No.
- PHRE009484
- License State
- GA
- Taxonomy Description
- A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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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. | |||||||||
| 1 | 0 | 6 | 3 | 6 | 6 | 9 | 3 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 12 | 6 | 18 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 2 + 6 + 1 + 8 + 3 + 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 = 5 | 5 | ||||||||
The NPI number 1063669315 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790784593 | DR. STEPHEN LEWIS SCHMIDT M.D. Individual | Family Medicine | 465 N BELAIR RD SUITE 1C EVANS, GA 30809 (706) 854-2160 |
| 1750383626 | CHRISTOPHER JOHN APOSTOL DO Individual | Family Medicine | 465 N BELAIR RD STE 1B EVANS, GA 30809 (706) 868-3100 |
| 1902808876 | MICHAEL R IKELER MD Individual | Internal Medicine | 465 N BELAIR RD STE 1B EVANS, GA 30809 (706) 868-3100 |
| 1144213562 | DELORES SCHWARTZ PA-C Individual | Physician Assistant (Medical) | 465 N BELAIR RD STE 1B EVANS, GA 30809 (706) 868-3100 |
| 1265416887 | LINDA R BAXTER LPC Individual | Counselor (Professional) | 465 N BELAIR RD SUITE 2D EVANS, GA 30809 (706) 651-1260 |
| 1376528836 | LORI GAIL SCHWAM M.D. Individual | Psychiatry & Neurology (Psychiatry) | 465 N BELAIR RD SUITE 2D EVANS, GA 30809 (706) 651-1260 |
| 1962462317 | BARRY WAYNE JORDAN M.D. Individual | Family Medicine | 465 N BELAIR RD SUITE 1B EVANS, GA 30809 (706) 868-3100 |
| 1760431639 | EVANS MEDICAL GROUP Organization | Family Medicine | 465 N BELAIR RD STE 1B EVANS, GA 30809 (706) 868-3100 |
| 1083629471 | DR. SHERRY T BARINOWSKI M.D. Individual | Family Medicine | 465 N BELAIR RD SUITE 1C EVANS, GA 30809 (706) 854-2160 |
| 1538174933 | DR. DAVID BREWER HOGUE M.D. Individual | Family Medicine | 465 N BELAIR RD SUITE 1C EVANS, GA 30809 (706) 854-2160 |
| 1669489084 | DR. JAMES DAVID HARROVER III M.D. Individual | Family Medicine | 465 N BELAIR RD SUITE 1C EVANS, GA 30809 (706) 854-2160 |
| 1740299650 | DR. FREDERICK A. MERRILL III D.O. Individual | Family Medicine | 465 N BELAIR RD SUITE 1C EVANS, GA 30809 (706) 854-2160 |
| 1346383189 | KELLEY VELINDA MONDI MD Individual | Family Medicine | 465 N BELAIR RD SUITE 1C EVANS, GA 30809 (706) 854-2160 |
| 1265561302 | DONNETTA L HEROLD RPH Individual | Pharmacist | 465 N BELAIR RD SUITE 1A EVANS, GA 30809 (706) 854-2424 |
| 1871718908 | DR. MARIA ALICIA JOHNSON D.O. Individual | Family Medicine | 465 N BELAIR RD SUITE 1B EVANS, GA 30809 (706) 868-3100 |
| 1457565004 | MR. CHRISTOPHER PATRICK PARKER RPH Individual | Pharmacist | 465 N BELAIR RD SUITE 1A EVANS, GA 30809 (706) 854-2424 |
| 1386924157 | KATIE NELSON, LPC, LLC Organization | Counselor (Professional) | 465 N BELAIR RD STE 2D EVANS, GA 30809 (706) 651-9647 |
| 1154628451 | WELLPULL CORPORATION OF EVANS Organization | Durable Medical Equipment & Medical Supplies | 465 N BELAIR RD SUITE 1A EVANS, GA 30809 (706) 513-2424 |
| 1396010427 | MRS. BETHANY JOY RUDGE GILLEY Individual | Physician Assistant | 465 N BELAIR RD SUITE 1 B EVANS, GA 30809 (706) 868-3100 |
| 1295772069 | PAMELA A GRAY MN, FNP Individual | Nurse Practitioner (Family) | 465 N BELAIR RD SUITE 2B EVANS, GA 30809 (706) 774-7400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063669315, enumerated in the NPI registry as an "organization" on August 19, 2008
The provider is located at 465 N Belair Rd 1a2 Evans, Ga 30809 and the phone number is (706) 855-5502
This medical organization specializes in Pharmacy with taxonomy code 3336C0004X with a focus in Compounding Pharmacy
This NPI record was last updated on August 19, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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