Associated Fresh Markets Inc
NPI 1417280678ActiveOrganization· Pharmacy· Park City, UT
Pharmacy in Park City, Utah, registered in NPPES in September 2009. The authorized official on file is Shawna Hanson, PHARMD, Director, Pharmacy Operations. Medicare paid $29,347 for services to 127 patients in 2024.
Overview
| NPI | 1417280678 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2009 |
| Last updated in NPPES | Feb 24, 2025 |
| Certified by provider | Feb 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 7439449-1703 | 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 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 127 |
|---|---|
| Services billed | 404 across 10 procedure codes |
| Paid by Medicare | $29,347 |
Other Pharmacy providers in Park City
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