ISOMERIC PHARMACY SOLUTIONS LLC (ISOMERIC PHARMACY SOLUTIONS) - NPI NUMBER 1821432626

Summary

Provider Name: ISOMERIC PHARMACY SOLUTIONS LLC (ISOMERIC PHARMACY SOLUTIONS)

NPI Number: 1821432626

Clasification: Pharmacy (3336C0004X)

Specialization: Compounding Pharmacy

Address:
510 S 600 E
SALT LAKE CITY, UT
ZIP 84102

Phone Number: (801) 433-2526



Detailed Information

ISOMERIC PHARMACY SOLUTIONS LLC is a compounding pharmacy pharmacy in Salt Lake City, UT. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner�s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. The assigned NPI number for this provider is 1821432626 and is registered as an organization entity type.
The provider Is Doing Business As Isomeric Pharmacy Solutions.

The provider's business address is:

510 S 600 E
SALT LAKE CITY, UT
ZIP 84102-710
Phone: (801) 433-2526
Fax: (888) 453-3274

The provider's authorized official is Rachael Cruz .
The authorized official title is Manager and has the following contact phone number (970) 712-7787.

The enumeration date for this NPI number is 4/23/2013 and was last updated on 3/5/2014.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1003897356 MEDICAL PLAZA PHARMACY, INC.
Pharmacy
1003898545 APOTHECARY SHOPPE, INC
Pharmacy
1003909995 HEALTHCARE PHARMACEUTICALS INC
Pharmacy (Long Term Care Pharmacy)
1023158342 GLADES HYLAND PHARMACIES
Pharmacy (Compounding Pharmacy)
1043543754 ASSOCIATED FRESH MARKETS INC
Pharmacy
1083953509 FUSION MEDICAL LLC
Pharmacy (Compounding Pharmacy)
1104242114 PLANNED PARENTHOOD
Pharmacy (Clinic Pharmacy)





Taxonomy Codes

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 3336C0004X Pharmacy Compounding Pharmacy No
2 333600000X Pharmacy No
3 3336C0003X Pharmacy Community/Retail Pharmacy 8915618-1703 UT Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 2140132 OTHER PK

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1821432626 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name ISOMERIC PHARMACY SOLUTIONS LLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name ISOMERIC PHARMACY SOLUTIONS Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 510 S 600 E The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name SALT LAKE CITY The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name UT The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 841022710 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 8014332526 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 8884533274 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 4/23/2013 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 3/5/2014 The date that a record was last updated or changed.
16 Authorized Official Last Name CRUZ The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
17 Authorized Official First Name RACHAEL The first name of the authorized official.
18 Authorized Official Title or Position MANAGER The title or position of the authorized official.
19 Authorized Official Telephone Number 9707127787 The 10-position telephone number of the authorized official.
20 Healthcare Provider Taxonomy Code 1 3336C0004X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
21 Healthcare Provider Primary Taxonomy Switch 1 N
22 Healthcare Provider Taxonomy Code 2 333600000X
23 Healthcare Provider Primary Taxonomy Switch 2 N
24 Healthcare Provider Taxonomy Code 3 3336C0003X
25 Provider License Number 3 8915618-1703 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
26 Provider License Number State Code 3 UT The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
27 Healthcare Provider Primary Taxonomy Switch 3 Y
28 Other Provider Identifier 1 2140132 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier Type Code 1 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
30 Other Provider Identifier Issuer 1 PK
31 Is Organization Subpart N

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 2/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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.