EASTSIDE PHARMACY
NPI 1285679712
Pharmacy in Jacksonville, FL
NPI Status: Active since June 18, 2006
Contact Information
818 A PHILIP RANDOLPH BLVD
JACKSONVILLE, FL
ZIP 32206
Phone: (904) 353-8500
Fax: (425) 969-2376
- Organization
- Pharmacy
About EASTSIDE PHARMACY
This page provides the complete NPI Profile along with additional information for Eastside Pharmacy, a provider established in Jacksonville, Florida operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1285679712 assigned on June 2006. The practitioner's primary taxonomy code is 333600000X with license number PH21752 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Tommy Mccall (Manager)
- NPI
- 1285679712
- Provider Name
- EASTSIDE PHARMACY
- Entity Type
- Organization
- Location Address
- 818 A PHILIP RANDOLPH BLVD JACKSONVILLE, FL 32206
- Location Phone
- (904) 353-8500
- Location Fax
- (425) 969-2376
- Mailing Address
- 818 A PHILIP RANDOLPH BLVD JACKSONVILLE, FL 32206
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-18-2006
- Last Update Date
- 08-22-2020
- 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
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- PH21752
- License State
- FL
- 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.
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) |
|---|
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 |
|---|---|---|---|
| 1016698 | OTHER (01) | OTHER ID NUMBER-COMMERCIAL 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 | 8 | 5 | 6 | 7 | 9 | 7 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 7 | 18 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 1 + 8 + 7 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1285679712 is valid because the calculated check digit 2 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 1285679712, enumerated in the NPI registry as an "organization" on June 18, 2006
The provider is located at 818 A Philip Randolph Blvd Jacksonville, Fl 32206 and the phone number is (904) 353-8500
This medical organization specializes in Pharmacy with taxonomy code 333600000X
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 18, 2006. 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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