BOLIVAR DRUG
NPI 1801809785
Pharmacy - Community/Retail Pharmacy in Bolivar, MO

NPI Status: Active since August 14, 2006

Contact Information

1001 E CAMBRIDGE ST
BOLIVAR, MO
ZIP 65613
Phone: (417) 326-7455
Fax: (417) 326-7757

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About BOLIVAR DRUG

This page provides the complete NPI Profile along with additional information for Bolivar Drug, a provider established in Bolivar, Missouri operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1801809785 assigned on August 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 005482 (MO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Bolivar Drug. The authorized official of this NPI record is Ryan Summers (President)

NPI
1801809785
Provider Legal Name
SPARKS PHARMACY INC
Other Organization Name
BOLIVAR DRUG
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1001 E CAMBRIDGE ST BOLIVAR, MO 65613
Location Phone
(417) 326-7455
Location Fax
(417) 326-7757
Mailing Address
1001 E CAMBRIDGE ST BOLIVAR, MO 65613
Mailing Phone
(417) 326-7455
Mailing Fax
(417) 326-7757
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2006
Last Update Date
01-21-2016
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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 Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
005482
License State
MO
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:

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

RYAN SUMMERS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(417) 326-7455

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
602599607MEDICAID (05)MO 
MA1376MEDICARE PIN (08) 
2051548OTHER (01)PK
622599603MEDICAID (05)MO 
4790300001MEDICARE 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.
1801809785
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
280116018716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 1 + 6 + 0 + 1 + 8 + 7 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1801809785 is valid because the calculated check digit 5 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
1982717096DR. ERICA HUMPHREYS PHARM.D.
Individual
Pharmacist1001 E CAMBRIDGE ST
BOLIVAR, MO 65613
(417) 777-7455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801809785, enumerated in the NPI registry as an "organization" on August 14, 2006

The provider is located at 1001 E Cambridge St Bolivar, Mo 65613 and the phone number is (417) 326-7455

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

The provider might be accepting Accepts: Medicare and Medicaid. 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 August 14, 2006. 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.