Provider Type Icon

INNOVATIVE RX LLC NPI 1225463169


NPI Information

NPI: 1225463169
Provider Name: INNOVATIVE RX LLC

Doing Business As: INNOVATIVE RX LLC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
12176 S 1000 E
STE 2
DRAPER, UT
ZIP 84020
Phone: (801) 355-5176
Get Directions

INNOVATIVE RX LLC is a community/retail pharmacy pharmacy in Draper, UT. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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. INNOVATIVE RX LLC NPI is 1225463169. The provider is registered as an organization entity type.
The provider Is Doing Business As Innovative Rx Llc.

The provider's business location address is:

12176 S 1000 E
STE 2
DRAPER, UT
ZIP 84020-734
Phone: (801) 355-5176
Fax: (801) 606-7358

The provider's authorized official is Angelee Dean .
The authorized official title is Managing Member and has the following contact phone number (801) 355-5176.

The enumeration date for this NPI number is 9/11/2013 and was last updated on 12/8/2016.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy9762264-1703UTAHYes

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
12159935OTHERPK

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.