Associated Fresh Markets Inc
NPI 1134452840ActiveOrganization· Pharmacy· Salt Lake City, UT
Pharmacy in Salt Lake City, Utah, registered in NPPES in September 2009. The authorized official on file is Shawna Hanson, PHARMD, Director, Pharmacy Operations. Medicare paid $32,704 for services to 138 patients in 2024.
Overview
| NPI | 1134452840 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2009 |
| Last updated in NPPES | Feb 24, 2025 |
| Certified by provider | Feb 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 7439673-1703 | UT |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 138 |
|---|---|
| Services billed | 457 across 11 procedure codes |
| Paid by Medicare | $32,704 |
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