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APOTHECARY SHOPPE, INC
NPI 1003898545
Pharmacy in Salt Lake City, UT

Active since November 18, 2005CLIA 46D2067164 · Waiver
82 S 1100 E, SUITE 104, SALT LAKE CITY, UT 84102(801) 521-6353(801) 521-6390 Get Directions Write a Review

NPPES record last updated: December 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Apothecary Shoppe, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APOTHECARY SHOPPE, INC (NPI 1003898545) is a healthcare organization registered as a pharmacy in Salt Lake City, Utah and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through December 4, 2026 and lists Kevin Lee Demass, Owner, as its authorized official.

NPPES Registry Identity

NPI1003898545
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameAPOTHECARY SHOPPE, INC
Location Address82 S 1100 E, SUITE 104Salt Lake City, UT 84102-1686
Mailing Address82 S 1100 E, Suite 104Salt Lake City, UT 84102-1686 · (801) 521-6353 · Fax (801) 521-6390
Phone(801) 521-6353
Fax(801) 521-6390
Organization SubpartNo
Authorized OfficialKevin Lee DemassOwner · (801) 521-6353
Enumeration DateNovember 18, 2005
Last NPPES UpdateDecember 27, 2010
✔ NPI 1003898545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in UT · 6895933-1703
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
82 S 1100 E, Salt Lake City, UT 84102
Open in Google Maps ↗

Other Identifiers 1

Medicaid=========003UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2067164

Apothecary Shoppe · Salt Lake City, UT
Active · expires Dec 4, 2026
CLIA Number46D2067164
Laboratory TypePharmacy
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorKevin Demass
Laboratory Phone(801) 521-6353
Laboratory LocationApothecary Shoppe82 S 1100 E #104, Salt Lake City, UT 84102
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
141 services140 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
136 services136 patients

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERRY PAUL SMITH DPM
Podiatrist
82 S 1100 E, SUITE 300
SALT LAKE CITY, UT 84102
Salt Lake County (801) 505-5277
CHARLES KIP DEWEESE APRN
Nurse Practitioner
82 S 1100 E, SUITE 204
SALT LAKE CITY, UT 84102
Salt Lake County (801) 350-4602
ANDREW D COOPER MD PC
Orthopaedic Surgery (Sports Medicine)
82 S 1100 E, SUITE 303
SALT LAKE CITY, UT 84102
Salt Lake County (801) 533-2002
RICHARD G SEEGMILLER DPM PC
Podiatrist
82 S 1100 E, STE 301
SALT LAKE CITY, UT 84102
Salt Lake County (801) 505-5277
PAUL G. LEHMITZ M.D.
Internal Medicine
82 S 1100 E, 403
SALT LAKE CITY, UT 84102
Salt Lake County (801) 505-5299
CHELSEA BROOKE CHANEY DNP, APRN, CNM
Advanced Practice Midwife
82 S 1100 E, SUITE 305
SALT LAKE CITY, UT 84102
Salt Lake County (801) 214-7650
MARK DAVID SCHOLL M.D.
Orthopaedic Surgery (Sports Medicine)
82 S 1100 E, SUITE 303
SALT LAKE CITY, UT 84102
Salt Lake County (801) 533-2002
COMPREHENSIVE ORTHOPEDIC SPECIALISTS, LLC
Specialist
82 S 1100 E, SUITE 303
SALT LAKE CITY, UT 84102
Salt Lake County (801) 533-2002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Apothecary Shoppe, Inc's NPI number?

The NPI number for Apothecary Shoppe, Inc is 1003898545. It was assigned to this organization in the NPPES registry on November 18, 2005.

Where is Apothecary Shoppe, Inc located?

Apothecary Shoppe, Inc is located at 82 S 1100 E Suite 104, Salt Lake City, UT 84102. The listed phone number is (801) 521-6353.

What is Apothecary Shoppe, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Apothecary Shoppe, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2067164) is associated with this NPI, valid through December 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Apothecary Shoppe, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Apothecary Shoppe, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Apothecary Shoppe, Inc was last updated on December 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.