Mythic Rx
NPI 1184462368ActiveOrganization· Pharmacy, Compounding Pharmacy· Millcreek, UT
Pharmacy, Compounding Pharmacy in Millcreek, Utah, registered in NPPES in July 2024. The authorized official on file is Sara Dewitt, PHARMD, Pharmacist.
Overview
| NPI | 1184462368 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2024 |
| Last updated in NPPES | Jul 19, 2024 |
| Certified by provider | Jul 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|