BRICKSTREET LONG TERM CARE, LLC
NPI 1104240068
Pharmacy - Long Term Care Pharmacy in Tyler, TX

NPI Status: Active since February 13, 2014

Contact Information

312 W RUSK ST
SUITE B
TYLER, TX
ZIP 75701
Phone: (903) 533-8157

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy
  • Accepts Insurance

About BRICKSTREET LONG TERM CARE, LLC

This page provides the complete NPI Profile along with additional information for Brickstreet Long Term Care, Llc, a provider established in Tyler, Texas operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1104240068 assigned on February 2014. The practitioner's primary taxonomy code is 3336L0003X with license number 29024 (TX). 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 Jeffrey V Abeldt Rph (Pic/owner)

NPI
1104240068
Provider Name
BRICKSTREET LONG TERM CARE, LLC
Entity Type
Organization
Location Address
312 W RUSK ST SUITE B TYLER, TX 75701
Location Phone
(903) 533-8157
Mailing Address
312 W RUSK ST SUITE B TYLER, TX 75701
Mailing Phone
(903) 533-8157
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2014
Last Update Date
02-13-2014
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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

Pharmacy Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
License No.
29024
License State
TX
Taxonomy Description
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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

*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

JEFFREY V ABELDT RPH

Authorized Official Title
PIC/OWNER
Authorized Official Phone
(903) 533-8157

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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.
1104240068
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104440012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 4 + 4 + 0 + 0 + 1 + 2 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1104240068 is valid because the calculated check digit 8 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 1104240068, enumerated in the NPI registry as an "organization" on February 13, 2014

The provider is located at 312 W Rusk St Suite B Tyler, Tx 75701 and the phone number is (903) 533-8157

This medical organization specializes in Pharmacy with taxonomy code 3336L0003X with a focus in Long Term Care Pharmacy

The provider might be accepting Accepts: Medica and Moda Health Plan, Inc.. 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 February 13, 2014. 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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