FAIRBANKS PHARMACY LTC
NPI 1215434873
Pharmacy - Long Term Care Pharmacy in Rancho Santa Fe, CA
NPI Status: Active since April 10, 2018
Contact Information
16089 SAN DIEGUITO RD # H102
RANCHO SANTA FE, CA
ZIP 92067
Phone: (858) 759-6625
Fax: (858) 759-6729
- Organization
- Pharmacy
- Long Term Care Pharmacy
- CLIA Number: 05D2168038
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 06-18-2025
About FAIRBANKS PHARMACY LTC
This page provides the complete NPI Profile along with additional information for Fairbanks Pharmacy Ltc, a provider established in Rancho Santa Fe, California operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1215434873 assigned on April 2018. The practitioner's primary taxonomy code is 3336L0003X with license number 55594 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Fairbanks Pharmacy Ltc. The authorized official of this NPI record is Bernard Gramlich (Ceo)
- NPI
- 1215434873
- Provider Legal Name
- DEL SUR PHARMACY
- Other Organization Name
- FAIRBANKS PHARMACY LTC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 16089 SAN DIEGUITO RD # H102 RANCHO SANTA FE, CA 92067
- Location Phone
- (858) 759-6625
- Location Fax
- (858) 759-6729
- Mailing Address
- PO BOX 9227 RANCHO SANTA FE, CA 92067
- Mailing Phone
- (858) 759-6625
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-10-2018
- Last Update Date
- 04-10-2018
- 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
- License No.
- 55594
- License State
- CA
- 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.
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) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy |
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.
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 |
|---|---|---|---|
| 2176915 | OTHER (01) | PK |
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
- 05D2168038
- Facility Type
- Pharmacy
- Certificate Effective Date
- June 19, 2023
- Certificate Expiration Date
- June 18, 2025
- Laboratory Director
- BERNARD GRAMLICH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fairbanks Pharmacy Ltc 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 FAIRBANKS PHARMACY LTC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 2 | 1 | 5 | 4 | 3 | 4 | 8 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 8 | 3 | 8 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 8 + 3 + 8 + 8 + 1 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1215434873 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 1215434873, enumerated in the NPI registry as an "organization" on April 10, 2018
The provider is located at 16089 San Dieguito Rd # H102 Rancho Santa Fe, Ca 92067 and the phone number is (858) 759-6625
This medical organization specializes in Pharmacy with taxonomy code 3336L0003X with a focus in Long Term Care Pharmacy
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.
The provider's CLIA number is 05D2168038 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 April 10, 2018. 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.