COUNTRY MARKET PHARMACY
NPI 1285167635
Pharmacy in Adrian, MI

NPI Status: Active since April 04, 2017

Contact Information

1535 W MAUMEE ST
ADRIAN, MI
ZIP 49221
Phone: (517) 265-9162

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  • Organization
  • Pharmacy
  • CLIA Number: 23D2182829
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 04-26-2026

About COUNTRY MARKET PHARMACY

This page provides the complete NPI Profile along with additional information for Country Market Pharmacy, a provider established in Adrian, Michigan operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1285167635 assigned on April 2017. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Robert Gargol Rph (Pharmacist)

NPI
1285167635
Provider Name
COUNTRY MARKET PHARMACY
Entity Type
Organization
Location Address
1535 W MAUMEE ST ADRIAN, MI 49221
Location Phone
(517) 265-9162
Mailing Address
1535 W MAUMEE ST ADRIAN, MI 49221
Mailing Phone
(517) 265-9162
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2017
Last Update Date
04-04-2017
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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

Taxonomy Code
333600000X
Type
Suppliers
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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

MR. ROBERT GARGOL RPH

Authorized Official Title
PHARMACIST
Authorized Official Phone
(734) 944-0330

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
23D2182829
Facility Type
Pharmacy
Certificate Effective Date
April 27, 2024
Certificate Expiration Date
April 26, 2026
Laboratory Director
ROBERT L. GARGOL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Country Market 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.

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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.
1285167635
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165261466
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 6 + 1 + 4 + 6 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1285167635 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700980760KENCO INC
Organization
Pharmacy (Community/Retail Pharmacy)1535 W MAUMEE ST
ADRIAN, MI 49221
(517) 265-9162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285167635, enumerated in the NPI registry as an "organization" on April 04, 2017

The provider is located at 1535 W Maumee St Adrian, Mi 49221 and the phone number is (517) 265-9162

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider's CLIA number is 23D2182829 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 04, 2017. 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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