Provider Type Icon

DE NOVO SERVICES LLC NPI 1164794434


NPI Information

NPI: 1164794434
Provider Name: DE NOVO SERVICES LLC
Classification: Pharmacy - 3336I0012X
Entity Type: Organization

Specialization: Institutional Pharmacy

Address:
339 E 3900 S
SUITE 155
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 263-1056
Get Directions

DE NOVO SERVICES LLC is an institutional pharmacy pharmacy in Salt Lake City, UT. The provider is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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. DE NOVO SERVICES LLC NPI is 1164794434. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

339 E 3900 S
SUITE 155
SALT LAKE CITY, UT
ZIP 84107-677
Phone: (801) 263-1056
Fax: (801) 261-3701

The provider's authorized official is Jerry Costley .
The authorized official title is Director / Owner and has the following contact phone number (801) 263-1056.

The enumeration date for this NPI number is 2/2/2012 and was last updated on 8/3/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
22084A0401XPsychiatry & NeurologyAddiction MedicineNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
43336I0012XPharmacyInstitutional PharmacyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.