628 MEDICAL GROUP
NPI 1114905775
Militaryu.s. Coast Guard Pharmacy in Charleston Afb,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 4, 2006

Contact Information

204 W Hill Blvd
Charleston Afb,
Post Code: 29404
Phone: (843) 963-6884
Fax: (843) 963-6538

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628 Medical Group in Charleston Afb - MilitaryU.S. Coast Guard Pharmacy

628 Medical Group is a MilitaryU.S. Coast Guard Pharmacy in Charleston Afb, . 628 Medical Group practices all healthcare services and medical treatments related to MilitaryU.S. Coast Guard Pharmacy. The NPI Number for 628 Medical Group is 1114905775. The last update date is 2012-01-27.

628 Medical Group's current location address is 204 W Hill Blvd, Charleston Afb, . You can contact this provider via phone number (843) 963-6884 and fax number (843) 963-6538. The mailing address for 628 Medical Group is 204 W Hill Blvd, Charleston Afb, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114905775
Provider Legal Name
628 MEDICAL GROUP
Other Organization Name
628 MEDICAL GROUP
Other Name Type
-
Entity Type
Organization
Location Address
204 W Hill Blvd, Charleston Afb,
Location Phone
(843) 963-6884
Location Fax
(843) 963-6538
Mailing Address
204 W Hill Blvd, Charleston Afb, South Carolina(SC)
Mailing Phone
843-963-6884
Mailing Fax
843-963-6538
Enumeration Date
2006-01-04
Last Update Date
2012-01-27
Code Navigator

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

Clinic/Center, MilitaryU.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
-
License No.
-
License State
-
Taxonomy Description
-

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)
1 332000000X Military/U.S. Coast Guard Pharmacy

MilitaryU.S. Coast Guard Pharmacy

()
2 261QM1101X Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center

Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure

()

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
42-22181 Other (non-Medicare) (01) South Carolina (SC) NCPDP

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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.
1114905775
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212418010714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 212418010714
2 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 0 + 7 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1114905775 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093718009 CHARLES S. BEBKO
Individual
Dentist, General Practice 1111 W O EZELL BLVD
SPARTANBURG, South Carolina (SC)
864-576-0947
1063415214 MICHAEL W HOLMES
Individual
Ophthalmology 479 HEYWOOD AVE
SPARTANBURG, South Carolina (SC)
864-583-6381
1083617880 ANTHONY DEAN LOWMAN
Individual
Internal Medicine, Gastroenterology 300 E MCBEE AVE FL 4
GREENVILLE, South Carolina (SC)
864-522-8603
1043213960 CHARLES DUDLEY GRAHAM
Individual
Internal Medicine, Hematology & Oncology 2910 TRICOM ST
NORTH CHARLESTON, South Carolina (SC)
843-572-9211
1033112008 SARAH BROWNE LONG
Individual
Nurse Practitioner, Family 2000 E GREENVILLE ST
ANDERSON, South Carolina (SC)
864-225-5667