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ACCREDO HEALTH GROUP INC NPI 1902857501


NPI Information

NPI: 1902857501
Provider Name: ACCREDO HEALTH GROUP INC

Doing Business As: ACCREDO HEALTH GROUP INC

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3488 S MAIN ST
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 832-0222
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ACCREDO HEALTH GROUP INC is a pharmacy in Salt Lake City, UT. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ACCREDO HEALTH GROUP INC NPI is 1902857501. The provider is registered as an organization entity type.
The provider Is Doing Business As Accredo Health Group Inc.

The provider's business location address is:

3488 S MAIN ST
SALT LAKE CITY, UT
ZIP 84115-419
Phone: (801) 832-0222
Fax: (801) 832-0333

The provider's authorized official is Vic Perini .
The authorized official title is Assistant Secretary and has the following contact phone number (314) 684-6273.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 10/7/2019.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336H0001XPharmacyHome Infusion Therapy PharmacyNo
43336S0011XPharmacySpecialty PharmacyNo
5333600000XPharmacy55435331704UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000203800MEDICAIDIDAHO
22100126OTHERPK
3000201500MEDICAIDIDAHO
4268950MEDICAIDOREGON
51902857501MEDICAIDUTAH

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.