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LEE'S MARKETPLACE - FOXBORO PHARMACY
NPI 1083157382
Pharmacy - Community/Retail Pharmacy in N Salt Lake, UT

Active since November 18, 2016CLIA 46D2128767 · Waiver
725 N REDWOOD ROAD, N SALT LAKE, UT 84054(385) 322-7900(385) 322-7966 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2017, Jan 20, 2017, Dec 19, 2016 and 1 more (4 updates tracked since 2016).

About Lee's Marketplace - Foxboro Pharmacy NPPES

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

LEE'S MARKETPLACE - FOXBORO PHARMACY (NPI 1083157382) is a healthcare organization registered as a community/retail pharmacy in N Salt Lake, Utah and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Jonathan Badger, Member/manager/president/ao, as its authorized official.

NPPES Registry Identity

NPI1083157382
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBADGER MANAGEMENT LLC
Location Address725 N REDWOOD ROADN Salt Lake, UT 84054
Mailing Address505 E 1400 N, Suite 110Logan, UT 84341-2486 · (435) 774-4150 · Fax (435) 774-4166
Phone(385) 322-7900
Fax(385) 322-7966
Organization SubpartNo
Authorized OfficialJonathan BadgerMember/manager/president/ao · (435) 774-4150
Enumeration DateNovember 18, 2016
Last NPPES UpdateMarch 23, 20174 updates tracked since enumeration
✔ NPI 1083157382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 10121455-1703
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.
Also ListedPharmacyTaxonomy 333600000X
725 N REDWOOD ROAD, N Salt Lake, UT 84054
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Other Names 1

Doing Business AsLee's Marketplace - Foxboro Pharmacy

Other Identifiers 2

Other2166235Pk
Medicaid=========001UT

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 2

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 46D2128767

Lee's Marketplace - Foxboro Pharmacy · N Salt Lake, UT
Active · expires Apr 5, 2027
CLIA Number46D2128767
Laboratory TypePharmacy
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorCrystal A. Grimes
Laboratory Phone(385) 322-7900
Laboratory LocationLee's Marketplace - Foxboro Pharmacy725 N Redwood Rd, N Salt Lake, UT 84054
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2308886

Lee's Marketplace Mt Green Pharmacy · Mountain Green, UT
Expired · Aug 5, 2026
CLIA Number46D2308886
Laboratory TypePharmacy
Certificate Effective DateAugust 6, 2024
Certificate Expiration DateAugust 5, 2026
Laboratory DirectorCrystal A. Grimes
Laboratory Phone(435) 774-4150
Laboratory LocationLee's Marketplace Mt Green Pharmacy4935 Old Hwy Rd, Mountain Green, UT 84050
CLIA data matches this NPI record on: 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.

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.
19 services19 patients
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.
19 services19 patients

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 Badger Management LLC's NPI number?

The NPI number for Badger Management LLC is 1083157382. It was assigned to this organization in the NPPES registry on November 18, 2016. The provider is doing business as Lee's Marketplace - Foxboro Pharmacy.

Where is Badger Management LLC located?

Badger Management LLC is located at 725 N Redwood Road, N Salt Lake, UT 84054. The listed phone number is (385) 322-7900.

What is Badger Management LLC's specialty?

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

Does Badger Management LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2128767) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Badger Management LLC 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 50 other insurers list Badger Management LLC 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 Badger Management LLC was last updated on March 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.