FUSION SPECIALTY PHARMACY INC NPI 1508104712

NPI Information

  • NPI: 1508104712
  • Provider Name: FUSION SPECIALTY PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • CLIA Number: 46D2141733
  • Address: 1100 CANYON VIEW DR STE C
    SANTA CLARA, UT
    ZIP 84765
  • Phone: (435) 703-9680

Map and Directions

Get Directions

NPI Details

FUSION SPECIALTY PHARMACY INC is a community/retail pharmacy pharmacy in Santa Clara, 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. FUSION SPECIALTY PHARMACY INC NPI is 1508104712. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1100 CANYON VIEW DR STE C
SANTA CLARA, UT
ZIP 84765-672
Phone: (435) 703-9680
Fax: (855) 853-3465

The provider's authorized official is Koby Taylor .
The authorized official title is President and has the following contact phone number (435) 703-9680.

The CLIA number assigned to this NPI record is 46D2141733 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
  • Sarscov2 vac 30 mcg trs-sucr (HCPCS:91305)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 1/23/2013 and was last updated on 2/5/2025.

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
13336C0003XPharmacyCommunity/Retail Pharmacy2013016261MISSOURINo
23336C0003XPharmacyCommunity/Retail PharmacyPH02951NEVADANo
33336C0003XPharmacyCommunity/Retail Pharmacy21457MSIDAHONo
43336C0003XPharmacyCommunity/Retail Pharmacy1260ALASKAYes
53336C0003XPharmacyCommunity/Retail Pharmacy22-13015KANSASNo
63336C0003XPharmacyCommunity/Retail PharmacyOSP.0006181COLORADONo
73336C0003XPharmacyCommunity/Retail PharmacyPHA-MOP-LIC-21763MONTANANo
83336C0003XPharmacyCommunity/Retail PharmacyPMP-966HAWAIINo
93336C0003XPharmacyCommunity/Retail PharmacyRP-0002986-CSOREGONNo
103336C0003XPharmacyCommunity/Retail Pharmacy033401NEW YORKNo
113336C0003XPharmacyCommunity/Retail PharmacyPH000039111NEW MEXICONo
123336C0003XPharmacyCommunity/Retail PharmacyNRP.022647900-03OHIONo
133336C0003XPharmacyCommunity/Retail Pharmacy28RO00142300NEW JERSEYNo
143336C0003XPharmacyCommunity/Retail PharmacyPH30592FLORIDANo
153336C0003XPharmacyCommunity/Retail PharmacyPHNR001096GEORGIANo

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
12138783OTHERPK

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI