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MEDSOURCE RX PHARMACY
NPI 1063736304
Pharmacy - Community/Retail Pharmacy in Sandy, UT

Active since March 16, 2010
9883 S 500 W, SANDY, UT 84070(801) 727-1979(855) 332-9272 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medsource Rx Pharmacy NPPES

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

MEDSOURCE RX PHARMACY (NPI 1063736304) is a healthcare organization registered as a community/retail pharmacy in Sandy, Utah and active in the NPI registry since March 2010. The organization lists Sahily Paoline, Pic, as its authorized official.

NPPES Registry Identity

NPI1063736304
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEDSOURCE RX PHARMACY LLC
Location Address9883 S 500 WSandy, UT 84070-2561
Mailing Address9883 S 500 WSandy, UT 84070-2561 · (801) 727-0080 · Fax (855) 332-9272
Phone(801) 727-1979
Fax(855) 332-9272
Organization SubpartNo
Authorized OfficialSahily PaolinePic · (888) 702-2195
Enumeration DateMarch 16, 2010
Last NPPES UpdateOctober 11, 2013
✔ NPI 1063736304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 7609917-1703
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
9883 S 500 W, Sandy, UT 84070
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Other Names 1

Doing Business AsMedsource Rx Pharmacy

Other Identifiers 1

Other2123919Pk

Other Providers at the Same Location NPPES 3

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

NEW LIFE PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
9883 S 500 W
SANDY, UT 84070
Salt Lake County (801) 716-7200
EVEREST PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
9883 S 500 W
SANDY, UT 84070
Salt Lake County (801) 727-1964
MEDSOURCE MEDICAL, LLC
Durable Medical Equipment & Medical Supplies
9883 S 500 W
SANDY, UT 84070
Salt Lake County (877) 577-7767

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 Medsource Rx Pharmacy LLC's NPI number?

The NPI number for Medsource Rx Pharmacy LLC is 1063736304. It was assigned to this organization in the NPPES registry on March 16, 2010. The provider is doing business as Medsource Rx Pharmacy.

Where is Medsource Rx Pharmacy LLC located?

Medsource Rx Pharmacy LLC is located at 9883 S 500 W, Sandy, UT 84070. The listed phone number is (801) 727-1979.

What is Medsource Rx Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Medsource Rx Pharmacy LLC was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.