HAVASU HEALTH CARE PHARM
NPI 1255591418
Pharmacy - Long Term Care Pharmacy in Lake Havasu City, AZ
NPI Status: Active since June 11, 2008
Contact Information
3560 CHALLENGER DR
STE 106
LAKE HAVASU CITY, AZ
ZIP 86406
Phone: (928) 855-9888
Fax: (928) 855-9888
- Organization
- Pharmacy
- Long Term Care Pharmacy
About HAVASU HEALTH CARE PHARM
This page provides the complete NPI Profile along with additional information for Havasu Health Care Pharm, a provider established in Lake Havasu City, Arizona operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1255591418 assigned on June 2008. The practitioner's primary taxonomy code is 3336L0003X with license number Y0004984 (AZ). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Havasu Health Care Pharm. The authorized official of this NPI record is Kelly Dahlberg (Owner)
- NPI
- 1255591418
- Provider Legal Name
- HAVASU HEALTH CARE PHARM
- Other Organization Name
- HAVASU HEALTH CARE PHARM
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3560 CHALLENGER DR STE 106 LAKE HAVASU CITY, AZ 86406
- Location Phone
- (928) 855-9888
- Location Fax
- (928) 855-9888
- Mailing Address
- 3560 CHALLENGER DR STE 106 LAKE HAVASU CITY, AZ 86406
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2008
- Last Update Date
- 06-11-2008
- 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.
- Y0004984
- License State
- AZ
- 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 | 3336M0003X | 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 |
|---|---|---|---|
| 0355366 | OTHER (01) | OTHER ID NUMBER |
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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. | |||||||||
| 1 | 2 | 5 | 5 | 5 | 9 | 1 | 4 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 10 | 9 | 2 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 0 + 9 + 2 + 4 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1255591418 is valid because the calculated check digit 8 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 1255591418, enumerated in the NPI registry as an "organization" on June 11, 2008
The provider is located at 3560 Challenger Dr Ste 106 Lake Havasu City, Az 86406 and the phone number is (928) 855-9888
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.
This NPI record was last updated on June 11, 2008. 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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