Crystal Health Solutions Michigan LLC
NPI 1396600342ActiveOrganization· Pharmacy, Mail Order Pharmacy· North Salt Lake, UT
Pharmacy, Mail Order Pharmacy in North Salt Lake, Utah, registered in NPPES in December 2025. The authorized official on file is Jacob C. Moench, Chief Executive Officer.
Overview
| NPI | 1396600342 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2025 |
| Last updated in NPPES | Dec 22, 2025 |
| Certified by provider | Dec 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Mail Order Pharmacy Primary | 3336M0002X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|