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Davis-Burkett Food Corp

NPI 1528198421ActiveOrganization· Pharmacy· Roosevelt, UT

Pharmacy in Roosevelt, Utah, registered in NPPES in March 2007. The authorized official on file is Mike Sorenson, PHARMD, Pharmacy Operations Manager. Medicare paid $6,248 for services to 36 patients in 2024.

Overview

NPI1528198421
StatusActive
Entity typeOrganization
NPI issuedMar 7, 2007
Last updated in NPPESJun 3, 2021
Certified by providerFeb 23, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X5777367-1703UT
Pharmacy, Community/Retail Pharmacy3336C0003X5777367-1703UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No 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 assignmentYes (participating)

Medicare services in 2024

Medicare patients36
Services billed98 across 8 procedure codes
Paid by Medicare$6,248

Medicare sources and data years

Other Pharmacy providers in Roosevelt

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