MARCO ISLAND PHARMACY, INC.
NPI 1528431616
Pharmacy - Community/Retail Pharmacy in Marco Island, FL

NPI Status: Active since November 11, 2015

Contact Information

905 N COLLIER BLVD
MARCO ISLAND, FL
ZIP 34145
Phone: (239) 970-2490
Fax: (239) 970-2761

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Accepts Insurance
  • CLIA Number: 10D0294154
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-15-2026

About MARCO ISLAND PHARMACY, INC.

This page provides the complete NPI Profile along with additional information for Marco Island Pharmacy, Inc., a provider established in Marco Island, Florida operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1528431616 assigned on November 2015. The practitioner's primary taxonomy code is 3336C0003X with license number PH29521 (FL). 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. Hiep Pham (President, Owner)

NPI
1528431616
Provider Name
MARCO ISLAND PHARMACY, INC.
Entity Type
Organization
Location Address
905 N COLLIER BLVD MARCO ISLAND, FL 34145
Location Phone
(239) 970-2490
Location Fax
(239) 970-2761
Mailing Address
905 N COLLIER BLVD MARCO ISLAND, FL 34145
Mailing Phone
(239) 970-2490
Mailing Fax
(239) 970-2761
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-11-2015
Last Update Date
06-26-2017
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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 Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
PH29521
License State
FL
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:

  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Catastrophic - PPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - PPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Share - PPO
  • Balance by Medica Silver Standard - PPO
  • Harmony by Medica Bronze $0 Copay PCP Visits - PPO
  • Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam - PPO
  • Harmony by Medica Bronze Premier - PPO
  • Harmony by Medica Bronze Premier + Adult Eye Exam - PPO
  • Harmony by Medica Catastrophic - PPO
  • Harmony by Medica Catastrophic + Adult Eye Exam - PPO
  • Harmony by Medica Expanded Bronze Standard - PPO
  • Harmony by Medica Expanded Bronze Standard + Adult Eye Exam - PPO
  • Harmony by Medica Gold $0 Copay PCP Visits - PPO
  • Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam - PPO

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

MR. HIEP PHAM

Authorized Official Title
PRESIDENT, OWNER
Authorized Official Phone
(239) 970-2490

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
PH29521OTHER (01)FLBOARD OF PHARMACY LICENSE

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
10D0294154
Facility Type
Physician Office
Certificate Effective Date
April 16, 2024
Certificate Expiration Date
April 15, 2026
Laboratory Director
DR. SHAWN PATTERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marco Island Pharmacy, Inc. 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.

Reviews for MARCO ISLAND PHARMACY, INC.

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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.
1528431616
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254883262
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 8 + 3 + 2 + 6 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1528431616 is valid because the calculated check digit 6 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 1528431616, enumerated in the NPI registry as an "organization" on November 11, 2015

The provider is located at 905 N Collier Blvd Marco Island, Fl 34145 and the phone number is (239) 970-2490

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

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D0294154 for a "physician office" 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 November 11, 2015. 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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