AVE MARIA PHARMACY PLLC
NPI 1073709119
Pharmacy - Compounding Pharmacy in Prescott, AZ
NPI Status: Active since September 21, 2007
Contact Information
1945 COMMERCE CENTER CIR
STE C
PRESCOTT, AZ
ZIP 86301
Phone: (928) 772-8674
Fax: (928) 772-8413
- Organization
- Pharmacy
- Compounding Pharmacy
- Accepts Insurance
About AVE MARIA PHARMACY PLLC
This page provides the complete NPI Profile along with additional information for Ave Maria Pharmacy Pllc, a provider established in Prescott, Arizona operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1073709119 assigned on September 2007. The practitioner's primary taxonomy code is 3336C0004X with license number Y004887 (AZ). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Ave Maria Pharmacy Pllc. The authorized official of this NPI record is Patrick Mcnerney Rph (Owner)
- NPI
- 1073709119
- Provider Legal Name
- AVE MARIA PHARMACY P.L.L.C.
- Other Organization Name
- AVE MARIA PHARMACY PLLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1945 COMMERCE CENTER CIR STE C PRESCOTT, AZ 86301
- Location Phone
- (928) 772-8674
- Location Fax
- (928) 772-8413
- Mailing Address
- 1945 COMMERCE CENTER CIR STE C PRESCOTT, AZ 86301
- Mailing Phone
- (928) 772-8674
- Mailing Fax
- (928) 772-8413
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-21-2007
- Last Update Date
- 04-28-2017
- 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.
- Y004887
- License State
- AZ
- 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.
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) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy | |
| 2 | 3336C0003X | Suppliers | 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 Catastrophic - 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 Catastrophic - 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
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Pioneer Alaska Standard Bronze - PPO
- Moda Pioneer Alaska Standard Gold - PPO
- Moda Pioneer Alaska Standard Silver - PPO
- Moda Pioneer Bronze 6500 - PPO
- Moda Pioneer Bronze HDHP 5500 - PPO
- Moda Pioneer Gold 1500 - PPO
- Moda Pioneer Silver 4500 - PPO
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.
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 |
|---|---|---|---|
| 1992604 | OTHER (01) | PK |
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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 | 7 | 3 | 7 | 0 | 9 | 1 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 14 | 0 | 18 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 4 + 0 + 1 + 8 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1073709119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073709119, enumerated in the NPI registry as an "organization" on September 21, 2007
The provider is located at 1945 Commerce Center Cir Ste C Prescott, Az 86301 and the phone number is (928) 772-8674
This medical organization specializes in Pharmacy with taxonomy code 3336C0004X with a focus in Compounding Pharmacy
The provider might be accepting Accepts: Medica, Moda Health Plan, Inc., Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 21, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.