RED SQUARE PHARMACY
NPI 1154342103
Pharmacy in San Francisco, CA

NPI Status: Active since July 22, 2006

Contact Information

442 CLEMENT ST
SAN FRANCISCO, CA
ZIP 94118
Phone: (415) 387-5537
Fax: (415) 387-5489

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  • Organization
  • Pharmacy

About RED SQUARE PHARMACY

This page provides the complete NPI Profile along with additional information for Red Square Pharmacy, a provider established in San Francisco, California operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1154342103 assigned on July 2006. The practitioner's primary taxonomy code is 333600000X with license number PHY47375 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Red Square Pharmacy. The authorized official of this NPI record is Lyudmila Lyustin (President)

NPI
1154342103
Provider Legal Name
AMG PHARMACY INC
Other Organization Name
RED SQUARE PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
442 CLEMENT ST SAN FRANCISCO, CA 94118
Location Phone
(415) 387-5537
Location Fax
(415) 387-5489
Mailing Address
442 CLEMENT ST SAN FRANCISCO, CA 94118
Mailing Phone
(415) 387-5537
Mailing Fax
(415) 387-5489
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2006
Last Update Date
08-22-2020
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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
License No.
PHY47375
License State
CA
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.

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)

Insurance Plans Accepted

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

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.

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

LYUDMILA LYUSTIN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(415) 665-9810

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
0546020OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER
PHA470820MEDICAID (05)CA 

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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.
1154342103
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110464410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 4 + 4 + 1 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1154342103 is valid because the calculated check digit 3 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 1154342103, enumerated in the NPI registry as an "organization" on July 22, 2006

The provider is located at 442 Clement St San Francisco, Ca 94118 and the phone number is (415) 387-5537

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 July 22, 2006. 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.