Fusion Pharmacy LLC
NPI 1114439775ActiveOrganization· Pharmacy· St George, UT
Pharmacy in St George, Utah, registered in NPPES in November 2017. The authorized official on file is Koby Taylor, PHARMD, Owner. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1114439775 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2017 |
| Last updated in NPPES | Aug 10, 2021 |
| Certified by provider | Aug 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
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) |
|---|
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