THE PHARMACY AT BERGHEIM
NPI 1578052312
Pharmacy - Community/Retail Pharmacy in Boerne, TX

NPI Status: Active since May 08, 2018

Contact Information

1 FM 3351 S STE 115
BOERNE, TX
ZIP 78006
Phone: (830) 336-2882
Fax: (830) 336-2883

Get Directions Reviews

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Accepts Insurance

About THE PHARMACY AT BERGHEIM

This page provides the complete NPI Profile along with additional information for The Pharmacy At Bergheim, a provider established in Boerne, Texas operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1578052312 assigned on May 2018. The practitioner's primary taxonomy code is 3336C0003X with license number 31977 (TX). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as The Pharmacy At Bergheim. The authorized official of this NPI record is Dudley Klatt (Vp Of Operations)

NPI
1578052312
Provider Legal Name
PREMIUM PHARMA, LLC
Other Organization Name
THE PHARMACY AT BERGHEIM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 FM 3351 S STE 115 BOERNE, TX 78006
Location Phone
(830) 336-2882
Location Fax
(830) 336-2883
Mailing Address
1 FM 3351 S STE 115 BOERNE, TX 78006
Mailing Phone
(830) 336-2882
Mailing Fax
(830) 336-2883
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2018
Last Update Date
11-15-2018
Code Navigator

Location Map

Secondary Locations

  • 4503 De Zavala Rd Ste 112
    San Antonio, TX 78249
    (210) 332-5900

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.
31977
License State
TX
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.

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)
1333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Pioneer Alaska Standard Bronze - PPO
  • Moda Pioneer Alaska Standard Gold - PPO
  • Moda Pioneer Alaska Standard Silver - PPO
  • Moda Pioneer Bronze 6500 - PPO
  • Moda Pioneer Bronze HDHP 5500 - PPO
  • Moda Pioneer Gold 1500 - PPO
  • Moda Pioneer Silver 4500 - 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

DUDLEY KLATT

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(361) 227-0412

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
2177272OTHER (01)PK

Reviews for THE PHARMACY AT BERGHEIM

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1578052312
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514805432
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 0 + 5 + 4 + 3 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1578052312 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477138675MR. ROLANDO RAMON JR. RPH
Individual
Pharmacist1 FM 3351 S STE 115
BOERNE, TX 78006
(303) 362-8828
1447838610 ALLISON OGLE DO
Individual
Family Medicine1 FM 3351 S STE 115
BOERNE, TX 78006
(210) 876-3646

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578052312, enumerated in the NPI registry as an "organization" on May 08, 2018

The provider is located at 1 Fm 3351 S Ste 115 Boerne, Tx 78006 and the phone number is (830) 336-2882

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

The provider might be accepting Accepts: Medica, Moda Health Plan, Inc., Medicare and. 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 May 08, 2018. 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.