PHARMERICA DRUG SYSTEMS LLC NPI 1164443214

NPI Information

NPI: 1164443214
Provider Name: PHARMERICA DRUG SYSTEMS, LLC

Doing Business As: PHARMERICA

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
376 W LAWNDALE DR
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 486-9555
Get Directions

PHARMERICA DRUG SYSTEMS, LLC is a long term care pharmacy pharmacy in Salt Lake City, UT. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PHARMERICA DRUG SYSTEMS, LLC NPI is 1164443214. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmerica.

The provider's business location address is:

376 W LAWNDALE DR
SALT LAKE CITY, UT
ZIP 84115-915
Phone: (801) 486-9555
Fax: (801) 486-4939

The provider's authorized official is Allison L. Brown .
The authorized official title is Secretary and has the following contact phone number (502) 630-7429.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 2/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	3336L0003X	Pharmacy	Long Term Care Pharmacy	7029950-1704	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	808144200	MEDICAID	IDAHO
2	NR50217	OTHER	WYOMING	STATE BOARD OF PHARMACY
3	1164443214	MEDICAID	WYOMING
4	127255100	MEDICAID	WYOMING
5	126793100	MEDICAID	WYOMING
6	PH02386	OTHER	NEVADA	STATE BOARD OF PHARMACY
7	1164443214	MEDICAID	NEVADA
8	7029950-1704	OTHER	UTAH	STATE BOARD OF PHARMACY
9	808134000	MEDICAID	IDAHO
10	1164443214	MEDICAID	UTAH
11	14196MS	OTHER	IDAHO	STATE BOARD OF PHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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