BEACON HC PHARM SB
NPI 1699102046
Pharmacy - Home Infusion Therapy Pharmacy in South Bend, IN

NPI Status: Active since October 01, 2013

Contact Information

3355 DOUGLAS RD
SOUTH BEND, IN
ZIP 46635
Phone: (574) 647-2273

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  • Organization
  • Pharmacy
  • Home Infusion Therapy Pharmacy

About BEACON HC PHARM SB

This page provides the complete NPI Profile along with additional information for Beacon Hc Pharm Sb, a provider established in South Bend, Indiana operating as a Pharmacy, focusing in home infusion therapy pharmacy . The healthcare provider is registered in the NPI registry with number 1699102046 assigned on October 2013. The practitioner's primary taxonomy code is 3336H0001X with license number 60004143A (IN). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Beacon Hc Pharm Sb. The authorized official of this NPI record is Mr. Greg Conrad (Vice President)

NPI
1699102046
Provider Legal Name
BEACON HEALTH VENTURES, INC
Other Organization Name
BEACON HC PHARM SB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3355 DOUGLAS RD SOUTH BEND, IN 46635
Location Phone
(574) 647-2273
Mailing Address
3355 DOUGLAS RD SUITE 400 SOUTH BEND, IN 46635
Mailing Phone
(574) 647-2273
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-01-2013
Last Update Date
06-17-2016
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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 Home Infusion Therapy Pharmacy

Taxonomy Code
3336H0001X
Type
Suppliers
License No.
60004143A
License State
IN
Taxonomy Description
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

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)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
23336C0004XSuppliers

Pharmacy
Compounding Pharmacy

(IN)

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.

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. GREG CONRAD

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(574) 647-8777

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
100301140AMEDICAID (05)IN 
000000097412OTHER (01)ANTHEM
0369000001MEDICARE NSC (07) 

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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.
1699102046
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2618920408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 2 + 0 + 4 + 0 + 8 + 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 1699102046 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750502878MR. TYRONE ARTEESE ARMSTEAD RPH, MBA
Individual
Pharmacist3355 DOUGLAS RD
SOUTH BEND, IN 46635
(574) 647-8674
1053524058 ANN H MOORE R.PH
Individual
Pharmacist3355 DOUGLAS RD
SOUTH BEND, IN 46635
(574) 647-8676
1053599613MEMORIAL HOME CARE, INC.
Organization
Durable Medical Equipment & Medical Supplies3355 DOUGLAS RD
SOUTH BEND, IN 46635
(574) 273-2273
1750558078MEMORIAL HOME CARE, INC.
Organization
Durable Medical Equipment & Medical Supplies3355 DOUGLAS RD
SOUTH BEND, IN 46635
(574) 273-2020
1477970374BEACON HEALTH VENTURES, INC.
Organization
Respite Care3355 DOUGLAS RD
SOUTH BEND, IN 46635
(574) 273-2273
1265028971BEACON HEALTH VENTURES INC
Organization
Home Infusion3355 DOUGLAS RD
SOUTH BEND, IN 46635
(574) 647-8675
1962594929 KRISTEN JACOBS M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)3355 DOUGLAS RD
SOUTH BEND, IN 46635
(574) 234-4176
1205693728LEGACY PATH LLC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)3355 DOUGLAS RD
SOUTH BEND, IN 46635
(574) 234-4176
1790859403BEACON HEALTH VENTURES INC
Organization
Pharmacy (Home Infusion Therapy Pharmacy)3355 DOUGLAS RD
SOUTH BEND, IN 46635
(574) 647-8675

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699102046, enumerated in the NPI registry as an "organization" on October 01, 2013

The provider is located at 3355 Douglas Rd South Bend, In 46635 and the phone number is (574) 647-2273

This medical organization specializes in Pharmacy with taxonomy code 3336H0001X with a focus in Home Infusion Therapy Pharmacy

The provider might be accepting Accepts: Medicare, Medicaid and Anthem Blue Cross. 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 October 01, 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].
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.