When Calling Prescription Insurance Companies, do they need the pharmacies NPI or NABP?

by Jeff
(Illinois)

NPI and NABP Numbers: Whats the difference?

NPI and NABP Numbers: Whats the difference?

When you call a prescription insurance company, are you supposed to give them your pharmacy's NPI or NABP? I know what the letters stand for, but what's the difference?

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by: David

The NCPDP (National Council On Prescription Drug Programs) and the NCPA (National Community Pharmacists Association) have provided/will provide Pharmacies with unique NPI numbers which were mandated by the US HIPAA Act of 1996.

NPI numbers have 9 numeric digits, and one numeric check digit. All pharmacies, which are "covered entities" under HIPAA are required to have an NPI number.

An NABP (National Association of Boards of Pharmacy) number (now known as the NCPDP Provider Number) came into existence over 25 years ago. This number was developed to assist them with their claims processors and their pharmacy payers.

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