CANYON PHARMACEUTICAL LLC NPI 1346282951

NPI Information

  • NPI: 1346282951
  • Provider Name: CANYON PHARMACEUTICAL, LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: ROCK CANYON PHARMACY
  • Address: 3179 N CANYON RD
    PROVO, UT
    ZIP 84604
  • Phone: (801) 377-2002

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NPI Details

CANYON PHARMACEUTICAL, LLC is a community/retail pharmacy pharmacy in Provo, 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. CANYON PHARMACEUTICAL, LLC NPI is 1346282951. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rock Canyon Pharmacy.

The provider's business location address is:

3179 N CANYON RD
PROVO, UT
ZIP 84604-916
Phone: (801) 377-2002
Fax: (801) 377-2007

The provider's authorized official is Ryan Johansen .
The authorized official title is Owner and has the following contact phone number (801) 440-2995.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 8/15/2022.

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
1183500000XPharmacist50843661703UTAHNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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
1710871500008MEDICAIDUTAH

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: 11/21/2025

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