Prime Therapeutics Pharmacy LLC
NPI 1356790364ActiveOrganization· Pharmacy, Mail Order Pharmacy· West Valley City, UT
Pharmacy, Mail Order Pharmacy in West Valley City, Utah, registered in NPPES in June 2016. The authorized official on file is Phi Tran, Pic. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1356790364 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2016 |
| Last updated in NPPES | Sep 16, 2024 |
| Certified by provider | Sep 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Mail Order Pharmacy Primary | 3336M0002X | — | — |
| Pharmacy | 333600000X | — | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | 10303032-1704 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (UT) |
|---|
Other Pharmacy, Mail Order Pharmacy providers in West Valley City
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