CPS HEARTBEATS WELLNESS CENTER-KNELLS RIDGE
NPI 1679917611
Pharmacy - Community/Retail Pharmacy in Chesapeake, VA

NPI Status: Active since April 22, 2013

Contact Information

817 BOTETOURT CT
STE. 103
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 410-2775
Fax: (757) 410-2790

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Accepts Insurance
  • CLIA Number: 49D2093740
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-02-2027

About CPS HEARTBEATS WELLNESS CENTER-KNELLS RIDGE

This page provides the complete NPI Profile along with additional information for Cps Heartbeats Wellness Center-knells Ridge, a provider established in Chesapeake, Virginia operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1679917611 assigned on April 2013. The practitioner's primary taxonomy code is 3336C0003X with license number 0201004511 (VA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Cps Heartbeats Wellness Center-knells Ridge. The authorized official of this NPI record is Pam Mcneilly (Coordinator Of Pharmacy Operations)

NPI
1679917611
Provider Legal Name
ON-SITE RX
Other Organization Name
CPS HEARTBEATS WELLNESS CENTER-KNELLS RIDGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
817 BOTETOURT CT STE. 103 CHESAPEAKE, VA 23320
Location Phone
(757) 410-2775
Location Fax
(757) 410-2790
Mailing Address
PO BOX 7036 CHESTNUT MOUNTAIN, GA 30502
Mailing Phone
(770) 532-1551
Mailing Fax
(757) 410-2790
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2013
Last Update Date
08-12-2024
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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.
0201004511
License State
VA
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:

  • 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

*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

PAM MCNEILLY

Authorized Official Title
COORDINATOR OF PHARMACY OPERATIONS
Authorized Official Phone
(770) 532-1551

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
49D2093740
Facility Type
Physician Office
Certificate Effective Date
April 03, 2025
Certificate Expiration Date
April 02, 2027
Laboratory Director
AMBER D. RAIFORD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cps Heartbeats Wellness Center-knells Ridge 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.
1679917611
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491811462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 8 + 1 + 1 + 4 + 6 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1679917611 is valid because the calculated check digit 1 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 1679917611, enumerated in the NPI registry as an "organization" on April 22, 2013

The provider is located at 817 Botetourt Ct Ste. 103 Chesapeake, Va 23320 and the phone number is (757) 410-2775

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

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

The provider's CLIA number is 49D2093740 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 April 22, 2013. 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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