EDGEWOODRX LLC
NPI 1235894965
Pharmacy - Long Term Care Pharmacy in Friendswood, TX

NPI Status: Active since November 08, 2021

Contact Information

186 S FRIENDSWOOD DR
FRIENDSWOOD, TX
ZIP 77546
Phone: (281) 993-4779
Fax: (832) 569-4756

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy
  • Accepts Insurance

About EDGEWOODRX LLC

This page provides the complete NPI Profile along with additional information for Edgewoodrx Llc, a provider established in Friendswood, Texas operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1235894965 assigned on November 2021. 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 Keyur Modi Rph (President/pharmacist In Charge)

NPI
1235894965
Provider Name
EDGEWOODRX LLC
Entity Type
Organization
Location Address
186 S FRIENDSWOOD DR FRIENDSWOOD, TX 77546
Location Phone
(281) 993-4779
Location Fax
(832) 569-4756
Mailing Address
186 S FRIENDSWOOD DR FRIENDSWOOD, TX 77546
Mailing Phone
(281) 993-4779
Mailing Fax
(832) 569-4756
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-08-2021
Last Update Date
11-08-2021
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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 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.

Insurance Plans Accepted

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

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Robin Oak $1,000 Gold - PPO
  • Robin Oak $1,500 Standard Gold - PPO
  • Robin Select $2,800 Plus Silver - PPO
  • Robin Select $3,500 HSA Silver - PPO
  • Robin Select $5,000 Standard Silver - PPO
  • Robin Select $6,500 Plus Bronze - PPO
  • Robin Select $7,500 Standard Bronze - PPO
  • Robin Select $8,200 HSA Bronze - PPO
  • Robin Select $9,200 Catastrophic - PPO
  • SummaCare Bronze 8000 - HMO
  • SummaCare Bronze 8000 with Adult Vision Exam - HMO
  • SummaCare Bronze 9200 with 3 Free PCP Visits - HMO
  • SummaCare Bronze 9200 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Gold 2000 with 3 Free PCP Visits - HMO
  • SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision - HMO
  • SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits - HMO
  • SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision Exam - HMO
  • SummaCare Silver 7000 with 3 Free PCP Visits - HMO
  • SummaCare Standard Bronze - HMO
  • SummaCare Standard Bronze with Adult Vision - HMO
  • SummaCare Standard Gold - HMO
  • SummaCare Standard Gold with Adult Vision - HMO
  • SummaCare Standard Silver - HMO
  • SummaCare Standard Silver with Adult Vision - HMO
  • SummaCare Value with 3 Free PCP Visits + Adult Vision - HMO

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

KEYUR MODI RPH

Authorized Official Title
PRESIDENT/PHARMACIST IN CHARGE
Authorized Official Phone
(281) 993-4779

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
149557MEDICAID (05)TX 

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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.
1235894965
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22651698912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 6 + 9 + 8 + 9 + 1 + 2 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1235894965 is valid because the calculated check digit 5 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
1144771007EDGEWOODRX LLC
Organization
Pharmacy186 S FRIENDSWOOD DR
FRIENDSWOOD, TX 77546
(281) 993-4779
1205004439MR. KEYUR D MODI R.PH
Individual
Pharmacist186 S FRIENDSWOOD DR
FRIENDSWOOD, TX 77546
(302) 312-4510

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235894965, enumerated in the NPI registry as an "organization" on November 08, 2021

The provider is located at 186 S Friendswood Dr Friendswood, Tx 77546 and the phone number is (281) 993-4779

This medical organization specializes in Pharmacy with taxonomy code 3336L0003X with a focus in Long Term Care Pharmacy

The provider might be accepting Accepts: HealthPartners, SummaCare, 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 November 08, 2021. 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.