PREFERRED PHARMACY
NPI 1174897508
Pharmacy - Compounding Pharmacy in Kewanee, IL

NPI Status: Active since March 02, 2012

Contact Information

150 W SOUTH ST
KEWANEE, IL
ZIP 61443
Phone: (309) 853-8000
Fax: (309) 853-8001

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  • Organization
  • Pharmacy
  • Compounding Pharmacy
  • CLIA Number: 37D1058687
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 09-12-2026

About PREFERRED PHARMACY

This page provides the complete NPI Profile along with additional information for Preferred Pharmacy, a provider established in Kewanee, Illinois operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1174897508 assigned on March 2012. The practitioner's primary taxonomy code is 3336C0004X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Preferred Pharmacy. The authorized official of this NPI record is Mrs. Jane E Doss (President)

NPI
1174897508
Provider Legal Name
D & D SERVICES INC
Other Organization Name
PREFERRED PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
150 W SOUTH ST KEWANEE, IL 61443
Location Phone
(309) 853-8000
Location Fax
(309) 853-8001
Mailing Address
12331 E 60TH ST TULSA, OK 74146
Mailing Phone
(918) 252-2000
Mailing Fax
(309) 853-8001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-02-2012
Last Update Date
05-11-2018
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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 Compounding Pharmacy

Taxonomy Code
3336C0004X
Type
Suppliers
Taxonomy Description
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

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)
1333600000XSuppliers

Pharmacy

054.017908 (IL)
23336H0001XSuppliers

Pharmacy
Home Infusion Therapy Pharmacy

 

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. JANE E DOSS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(309) 853-8000

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
37D1058687
Facility Type
Home Health Agency
Certificate Effective Date
September 13, 2024
Certificate Expiration Date
September 12, 2026
Laboratory Director
PAMELA LAWLESS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Preferred 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 PREFERRED 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.
1174897508
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441691450
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 9 + 1 + 4 + 5 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1174897508 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417443813MRS. MELANIE KAY MITCHENER RPH
Individual
Pharmacist150 W SOUTH ST
KEWANEE, IL 61443
(309) 853-8000
1699168922D & D SERVICES INC
Organization
Durable Medical Equipment & Medical Supplies150 W SOUTH ST
KEWANEE, IL 61443
(309) 853-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174897508, enumerated in the NPI registry as an "organization" on March 02, 2012

The provider is located at 150 W South St Kewanee, Il 61443 and the phone number is (309) 853-8000

This medical organization specializes in Pharmacy with taxonomy code 3336C0004X with a focus in Compounding Pharmacy

The provider's CLIA number is 37D1058687 for a "home health agency" 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 March 02, 2012. 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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