COVENANT PRIMARY CARE
NPI 1467704890
Non-Pharmacy Dispensing Site in Saint Joseph, MO
NPI Status: Active since October 09, 2012
Contact Information
4906 FREDERICK AVE
SAINT JOSEPH, MO
ZIP 64506
Phone: (816) 233-3700
- Organization
- Non-Pharmacy Dispensing Site
About COVENANT PRIMARY CARE
This page provides the complete NPI Profile along with additional information for Covenant Primary Care, a provider established in Saint Joseph, Missouri operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1467704890 assigned on October 2012. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Covenant Primary Care. The authorized official of this NPI record is Dr. Fred E. Potts Iv Md (Medical Director)
- NPI
- 1467704890
- Provider Legal Name
- FRED E. POTTS, IV, MD, LLC
- Other Organization Name
- COVENANT PRIMARY CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4906 FREDERICK AVE SAINT JOSEPH, MO 64506
- Location Phone
- (816) 233-3700
- Mailing Address
- 2980 N BEVERLY GLEN CIR SUITE 301 LOS ANGELES, CA 90077
- Mailing Phone
- (310) 474-9809
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-09-2012
- Last Update Date
- 10-09-2012
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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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 | 4 | 6 | 7 | 7 | 0 | 4 | 8 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 14 | 0 | 8 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 4 + 0 + 8 + 8 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1467704890 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1043293996 | DR. SAMEER GUPTA MD Individual | Phlebology | 4906 FREDERICK AVE SAINT JOSEPH, MO 64506 (816) 396-0245 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467704890, enumerated in the NPI registry as an "organization" on October 09, 2012
The provider is located at 4906 Frederick Ave Saint Joseph, Mo 64506 and the phone number is (816) 233-3700
This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X
This NPI record was last updated on October 09, 2012. 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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