MEDICATE PHARMACY INC
NPI 1871086082
Pharmacy - Community/Retail Pharmacy in Centreville, IL

NPI Status: Active since June 12, 2018

Contact Information

5869 BOND AVE
CENTREVILLE, IL
ZIP 62207
Phone: (618) 857-2608
Fax: (618) 857-2610

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About MEDICATE PHARMACY INC

This page provides the complete NPI Profile along with additional information for Medicate Pharmacy Inc, a provider established in Centreville, Illinois operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1871086082 assigned on June 2018. The practitioner's primary taxonomy code is 3336C0003X with license number 054-018736 (IL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Michael Lee Schaltenbrand (President)

NPI
1871086082
Provider Name
MEDICATE PHARMACY INC
Entity Type
Organization
Location Address
5869 BOND AVE CENTREVILLE, IL 62207
Location Phone
(618) 857-2608
Location Fax
(618) 857-2610
Mailing Address
1833 KINGSHIGHWAY WASHINGTON PARK, IL 62204
Mailing Phone
(618) 874-3000
Mailing Fax
(618) 857-2610
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2018
Last Update Date
03-07-2023
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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.
054-018736
License State
IL
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:

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

MICHAEL LEE SCHALTENBRAND

Authorized Official Title
PRESIDENT
Authorized Official Phone
(618) 875-1000

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
054-018736OTHER (01)ILILLINOIS PHARMACY LICENSE NUMBER
CO014205OTHER (01)ILCONTROLLED SUBSTANCE LICENSE NUMBER

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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.
1871086082
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281410812016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 0 + 8 + 1 + 2 + 0 + 1 + 6 + 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 1871086082 is valid because the calculated check digit 2 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 1871086082, enumerated in the NPI registry as an "organization" on June 12, 2018

The provider is located at 5869 Bond Ave Centreville, Il 62207 and the phone number is (618) 857-2608

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 June 12, 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].
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