SCOTTS PHARMACY J403
NPI 1275737355
Pharmacy - Community/Retail Pharmacy in Fort Wayne, IN

NPI Status: Active since June 13, 2007

Contact Information

710 E DUPONT RD
FORT WAYNE, IN
ZIP 46825
Phone: (260) 489-2878
Fax: (260) 490-2421

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About SCOTTS PHARMACY J403

This page provides the complete NPI Profile along with additional information for Scotts Pharmacy J403, a provider established in Fort Wayne, Indiana operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1275737355 assigned on June 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 60006079A (IN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Scotts Pharmacy J403. The authorized official of this NPI record is Karla Langworthy Cpht (Pharmacy Licensing Manager)

NPI
1275737355
Provider Legal Name
KROGER LIMITED PARTNERSHIP I
Other Organization Name
SCOTTS PHARMACY J403
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
710 E DUPONT RD FORT WAYNE, IN 46825
Location Phone
(260) 489-2878
Location Fax
(260) 490-2421
Mailing Address
5960 CASTLEWAY WEST DR INDIANAPOLIS, IN 46250
Mailing Phone
(317) 579-8434
Mailing Fax
(260) 490-2421
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-13-2007
Last Update Date
07-26-2010
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Scotts Pharmacy J403 is a medicare supplier with PTAN 20597819 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Canes and/or Crutches or Walkers or Ostomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Nebulizer Equipment and/or Supplies or Surgical Dressings.

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 Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
60006079A
License State
IN
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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

KARLA LANGWORTHY CPHT

Authorized Official Title
PHARMACY LICENSING MANAGER
Authorized Official Phone
(513) 698-1878

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
1561566OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER
1193770680MEDICARE NSC (07) 
P00637372MEDICARE PIN (08) 
256660MEDICARE PIN (08) 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20597819
Accepts Medicare Assignment
YES
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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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.
1275737355
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214514314310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 4 + 3 + 1 + 4 + 3 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1275737355 is valid because the calculated check digit 5 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 1275737355, enumerated in the NPI registry as an "organization" on June 13, 2007

The provider is located at 710 E Dupont Rd Fort Wayne, In 46825 and the phone number is (260) 489-2878

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail 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 13, 2007. 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.