Revere Health PC
NPI 1922156884ActiveOrganization· Pharmacist· Provo, UT
Pharmacist in Provo, Utah, registered in NPPES in January 2007. The authorized official on file is Christopher David Roller, PHARMD, Director Of Pharmacy. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1922156884 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2007 |
| Last updated in NPPES | Aug 20, 2026 |
| Certified by provider | Aug 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | — | UT |
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) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (UT) |
|---|
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