BOARDWALK PHARMACY
NPI 1073712329
Pharmacy - Community/Retail Pharmacy in Irving, TX
NPI Status: Active since July 17, 2007
Contact Information
6161 N STATE HIGHWAY 161
IRVING, TX
ZIP 75038
Phone: (972) 812-7559
- Organization
- Pharmacy
- Community/Retail Pharmacy
- Accepts Insurance
- CLIA Number: 45D0887875
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-02-2025
About BOARDWALK PHARMACY
This page provides the complete NPI Profile along with additional information for Boardwalk Pharmacy, a provider established in Irving, Texas operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1073712329 assigned on July 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 25599 (TX). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Boardwalk Pharmacy. The authorized official of this NPI record is David Deems M.d. (Managing Partner)
- NPI
- 1073712329
- Provider Legal Name
- HEALTHCARE ASSOCIATES OF IRVING
- Other Organization Name
- BOARDWALK PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6161 N STATE HIGHWAY 161 IRVING, TX 75038
- Location Phone
- (972) 812-7559
- Mailing Address
- 6161 N STATE HIGHWAY 161 IRVING, TX 75038
- Mailing Phone
- (972) 812-7559
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-17-2007
- Last Update Date
- 11-25-2019
- 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 Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- 25599
- License State
- TX
- Taxonomy Description
- A 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue Connect 80/60 $3200 (L) - POS
- Blue Connect 80/60 $3200 (N) - POS
- Blue Connect 80/60 $3200 (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
- 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
- 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
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 7700 - POS
- Standard Bronze 7500 - POS
- Standard Gold 1500 - POS
- Standard Silver 5000 - POS
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 |
|---|---|---|---|
| 4545298 | OTHER (01) | NCPDP |
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 this NPI number is:
- CLIA Number
- 45D0887875
- Facility Type
- Physician Office
- Certificate Effective Date
- November 03, 2023
- Certificate Expiration Date
- November 02, 2025
- Laboratory Director
- SHERIF M. RIZKALLA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Boardwalk 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.
Reviews for BOARDWALK PHARMACY
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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 | 1 | 2 | 3 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 14 | 1 | 4 | 3 | 4 | |
| 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 + 1 + 4 + 3 + 4 + 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 1073712329 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083687206 | MARY C WARD D.O. Individual | Family Medicine | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 258-7499 |
| 1073589586 | DR. MARIA NICOLA BIARD MD Individual | Family Medicine | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 258-7499 |
| 1225004351 | DR. JAMES MARK ANDERSON MD Individual | Family Medicine | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 258-7499 |
| 1760458897 | DR. CHARLES LEE POWELL MD Individual | Family Medicine | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 258-7499 |
| 1780650291 | DR. WALTER NICHOLAS GAMAN MD Individual | Family Medicine | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 258-7499 |
| 1639309461 | STACY R. MORETTA P.A. Individual | Physician Assistant (Medical) | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 258-7499 |
| 1326363128 | RANDI DAWN TRUE PA Individual | Physician Assistant | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 258-7499 |
| 1316262033 | MRS. JENNIFER GARCIA MATA PA-C Individual | Physician Assistant | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 258-7499 |
| 1154952133 | MR. GEORGE LARRY JONES JR. RPH Individual | Pharmacist | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 812-7599 |
| 1003009580 | MIMI SONG IDICULA NP Individual | Nurse Practitioner | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 258-7499 |
| 1043458631 | ABIGAIL LEWADOWSKI SOTO PA-C Individual | Physician Assistant (Medical) | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 258-7499 |
| 1417287046 | JEREMY J LIESVELD DC, FNP-C Individual | Nurse Practitioner (Family) | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 258-7499 |
| 1508388679 | CINDI ANN PETERS RN Individual | Nurse Practitioner (Family) | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (214) 258-7499 |
| 1821060559 | TERRENCE M FEEHERY DO Individual | Family Medicine | 6161 N STATE HIGHWAY 161 IRVING, TX 75038 (972) 258-7499 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073712329, enumerated in the NPI registry as an "organization" on July 17, 2007
The provider is located at 6161 N State Highway 161 Irving, Tx 75038 and the phone number is (972) 812-7559
This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D0887875 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on July 17, 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].
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