HEMET MEDICAL RX
NPI 1134749021
Pharmacy in Hemet, CA

NPI Status: Active since April 21, 2020

Contact Information

615 E FLORIDA AVE
HEMET, CA
ZIP 92543
Phone: (951) 430-3001

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  • Organization
  • Pharmacy
  • Accepts Insurance
  • CLIA Number: 05D2107976
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 01-25-2026

About HEMET MEDICAL RX

This page provides the complete NPI Profile along with additional information for Hemet Medical Rx, a provider established in Hemet, California operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1134749021 assigned on April 2020. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Maryam Sharafsaleh Rph (Owner)

NPI
1134749021
Provider Name
HEMET MEDICAL RX
Entity Type
Organization
Location Address
615 E FLORIDA AVE HEMET, CA 92543
Location Phone
(951) 430-3001
Mailing Address
615 E FLORIDA AVE HEMET, CA 92543
Mailing Phone
(951) 430-3001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-21-2020
Last Update Date
04-21-2020
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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

Taxonomy Code
333600000X
Type
Suppliers
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • 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

MRS. MARYAM SHARAFSALEH RPH

Authorized Official Title
OWNER
Authorized Official Phone
(760) 212-2761

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
05D2107976
Facility Type
Federally Qualified Health Center
Certificate Effective Date
January 26, 2024
Certificate Expiration Date
January 25, 2026
Laboratory Director
ALLAN WU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hemet Medical Rx 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.
1134749021
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641441804
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 4 + 4 + 1 + 8 + 0 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1134749021 is valid because the calculated check digit 1 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 1134749021, enumerated in the NPI registry as an "organization" on April 21, 2020

The provider is located at 615 E Florida Ave Hemet, Ca 92543 and the phone number is (951) 430-3001

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D2107976 for a "federally qualified health center" 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 April 21, 2020. 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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