Apothecary Shoppe, Inc
NPI 1003898545ActiveOrganization· Pharmacy· Salt Lake City, UT
Pharmacy in Salt Lake City, Utah, registered in NPPES in November 2005. The authorized official on file is Kevin Lee Demass, R.PH., Owner. Medicare paid $33,640 for services to 153 patients in 2024.
Overview
| NPI | 1003898545 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2005 |
| Last updated in NPPES | Dec 27, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 6895933-1703 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (UT); Part B Supplier - Pharmacy (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 153 |
|---|---|
| Services billed | 463 across 9 procedure codes |
| Paid by Medicare | $33,640 |
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