HEDDENS PHARMACY INC
NPI 1124772850
Pharmacy - Long Term Care Pharmacy in Tenino, WA
NPI Status: Active since February 10, 2022
Contact Information
196 SUSSEX AVE W
TENINO, WA
ZIP 98589
Phone: (360) 264-2575
Fax: (360) 264-5039
- Organization
- Pharmacy
- Long Term Care Pharmacy
- CLIA Number: 50D2254971
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 04-04-2028
About HEDDENS PHARMACY INC
This page provides the complete NPI Profile along with additional information for Heddens Pharmacy Inc, a provider established in Tenino, Washington operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1124772850 assigned on February 2022. The practitioner's primary taxonomy code is 3336L0003X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jeffrey Shane Harrell Pharmd (President)
- NPI
- 1124772850
- Provider Name
- HEDDENS PHARMACY INC
- Entity Type
- Organization
- Location Address
- 196 SUSSEX AVE W TENINO, WA 98589
- Location Phone
- (360) 264-2575
- Location Fax
- (360) 264-5039
- Mailing Address
- PO BOX B ILWACO, WA 98624
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-10-2022
- Last Update Date
- 02-10-2022
- 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 Long Term Care Pharmacy
- Taxonomy Code
- 3336L0003X
- Type
- Suppliers
- 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.
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
- 50D2254971
- Facility Type
- Pharmacy
- Certificate Effective Date
- March 09, 2022
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- TRAVIS COLLINS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Heddens Pharmacy Inc 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.
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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 | 1 | 2 | 4 | 7 | 7 | 2 | 8 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 14 | 7 | 4 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 1 + 4 + 7 + 4 + 8 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1124772850 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629732904 | BRIAN RAY HEDDEN RPH Individual | Pharmacist | 196 SUSSEX AVE W TENINO, WA 98589 (360) 264-2575 |
| 1801550173 | SHIRLEY JEANNE JOHNSON R.PH. Individual | Pharmacist | 196 SUSSEX AVE W TENINO, WA 98589 (360) 264-2575 |
| 1588675086 | HEDDENS PHARMACY INC Organization | Pharmacy (Community/Retail Pharmacy) | 196 SUSSEX AVE W TENINO, WA 98589 (360) 264-2575 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124772850, enumerated in the NPI registry as an "organization" on February 10, 2022
The provider is located at 196 Sussex Ave W Tenino, Wa 98589 and the phone number is (360) 264-2575
This medical organization specializes in Pharmacy with taxonomy code 3336L0003X with a focus in Long Term Care Pharmacy
The provider's CLIA number is 50D2254971 for a "pharmacy" 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 February 10, 2022. 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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