AETNA SPECIALTY PHARMACY, LLC
NPI 1942203187
Pharmacy, Home Infusion Therapy Pharmacy in Orlando,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 23, 2005

Contact Information

503 Sunport Lane
Orlando,
Post Code: 32809
Phone: (407) 513-6400
Fax: (866) 329-2779

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Aetna Specialty Pharmacy, Llc in Orlando - Pharmacy, Home Infusion Therapy Pharmacy

Aetna Specialty Pharmacy, Llc is a Pharmacy, Home Infusion Therapy Pharmacy in Orlando, . Aetna Specialty Pharmacy, Llc practices all healthcare services and medical treatments related to Pharmacy, Home Infusion Therapy Pharmacy. The NPI Number for Aetna Specialty Pharmacy, Llc is 1942203187. The last update date is 2014-05-19.

Aetna Specialty Pharmacy, Llc's current location address is 503 Sunport Lane, Orlando, . You can contact this provider via phone number (407) 513-6400 and fax number (866) 329-2779. The mailing address for Aetna Specialty Pharmacy, Llc is 503 Sunport Lane, Orlando, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1942203187
Provider Legal Name
AETNA SPECIALTY PHARMACY, LLC
Other Organization Name
AETNA SPECIALTY PHARMACY, LLC
Other Name Type
-
Entity Type
Organization
Location Address
503 Sunport Lane, Orlando,
Location Phone
(407) 513-6400
Location Fax
(866) 329-2779
Mailing Address
503 Sunport Lane, Orlando, Florida(FL)
Mailing Phone
407-513-6400
Mailing Fax
866-329-2779
Enumeration Date
2005-05-23
Last Update Date
2014-05-19
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

Pharmacy, Specialty Pharmacy

Taxonomy Code
3336S0011X
Type
-
License No.
PH21035
License State
Florida (FL)
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 3336H0001X Home Infusion Therapy Pharmacy

Pharmacy, Home Infusion Therapy Pharmacy

PH21035 (Florida)

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
0215059 MEDICAID (05) Montana (MT)
030961300 MEDICAID (05) Florida (FL)
035123 MEDICAID (05) Arizona (AZ)
057738300 MEDICAID (05) Minnesota (MN)
0720789 MEDICAID (05) Iowa (IA)
100508643 MEDICAID (05) Nevada (NV)
1016502540001 MEDICAID (05) Pennsylvania (PA)
1714655 Other (non-Medicare) (01) () Aetna Healthcare
1942203187 MEDICAID (05) Virginia (VA)
200077510A MEDICAID (05) Oklahoma (OK)
200369680A MEDICAID (05) Kansas (KS)
200808960A MEDICAID (05) Indiana (IN)
35123 MEDICAID (05) Arizona (AZ)
3726379 Other (non-Medicare) (01) () Aetna Healthcare HMO Clms
3726379 Other (non-Medicare) (01) () Aetna Healthcare HMO Claims
38457750 MEDICAID (05) New Mexico (NM)
411068400 MEDICAID (05) Maryland (MD)
432182200 MEDICAID (05) Maine (ME)
582713 MEDICAID (05) Hawaii (HI)
6029037 MEDICAID (05) Washington (WA)
7446672 Other (non-Medicare) (01) () Aetna Healthcare Diem Clm
7446672 Other (non-Medicare) (01) () Aetna Healthcare Diem Claim
7F1035 MEDICAID (05) South Carolina (SC)
807415000 MEDICAID (05) Idaho (ID)
=========001 MEDICAID (05) Utah (UT)
=========001 MEDICAID (05) Illinois (IL)
PH575FL MEDICAID (05) Alaska (AK)

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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.
1942203187
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2982406116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2982406116
2 + 9 + 8 + 2 + 4 + 0 + 6 + 1 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1942203187 is valid because the calculated check digit 7 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
1588667638 WILLIAM C PILCHER
Individual
Internal Medicine, Cardiovascular Disease 1824 KING STREET
JACKSONVILLE, Florida (FL)
904-388-1820
1114920261 RICHARD RANDALL THACKER
Individual
Internal Medicine 2770 CAPITAL MEDICAL BLVD
TALLAHASSEE, Florida (FL)
850-878-8235
1699778647 VISITING HOME HEALTH SERVICES, INC
LIFE CARE AT HOME
Organization
Home Health 3001 KEITH ST NW
CLEVELAND, Tennessee (TN)
423-473-5256
1861495814 FRANCISCO ALBERTO SMITH
Individual
Obstetrics & Gynecology, Gynecologic Oncology 1660 MEDICAL BLVD
NAPLES, Florida (FL)
239-596-1995
1306849336 ERIC L TOWNSEND
Individual
Dentist, General Practice 105 SOLANA RD
PONTE VEDRA, Florida (FL)
904-285-7711