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FUSION PHARMACY
NPI 1114439775
Pharmacy in St George, UT

Active since November 03, 2017CLIA 46D2177745 · Waiver
617 E RIVERSIDE DR STE 104, ST GEORGE, UT 84790(435) 703-9680 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2021, May 21, 2018, Nov 3, 2017 (3 updates tracked since 2017).

About Fusion Pharmacy NPPES

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

FUSION PHARMACY (NPI 1114439775) is a healthcare organization registered as a pharmacy in St George, Utah and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through January 16, 2028 and lists Koby Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1114439775
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFUSION PHARMACY LLC
Location Address617 E RIVERSIDE DR STE 104St George, UT 84790
Mailing Address1100 Canyon View Dr Ste CSanta Clara, UT 84765-5672 · (435) 703-9680
Phone(435) 703-9680
Organization SubpartNo
Authorized OfficialKoby TaylorOwner · (435) 656-2059
Enumeration DateNovember 3, 2017
Last NPPES UpdateAugust 10, 20213 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1114439775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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.
617 E RIVERSIDE DR STE 104, St George, UT 84790
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Other Names 1

Doing Business AsFusion Pharmacy

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 46D2177745

Fusion Pharmacy · St George, UT
Active · expires Jan 16, 2028
CLIA Number46D2177745
Laboratory TypePharmacy
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorChristopher D. Connole
Laboratory Phone(435) 656-2059
Laboratory LocationFusion Pharmacy617 E Riverside Dr #104, St George, UT 84790
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

PURE LIFE HEALTH AND WELLNESS LLC
Clinic/Center
617 E RIVERSIDE DR STE 104
ST GEORGE, UT 84790
Washington County (801) 638-7826
DR. TRAVIS C JACKMAN PHARM D
Pharmacist
617 E RIVERSIDE DR STE 104
ST GEORGE, UT 84790
Washington County (435) 656-2059
CASSANDRA FINCH PA
Physician Assistant
617 E RIVERSIDE DR STE 104
ST GEORGE, UT 84790
Washington County (435) 817-9749
MAKINNA CLOUGH
Pharmacy Technician
617 E RIVERSIDE DR STE 104
ST GEORGE, UT 84790
Washington County (801) 656-2059

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 Fusion Pharmacy LLC's NPI number?

The NPI number for Fusion Pharmacy LLC is 1114439775. It was assigned to this organization in the NPPES registry on November 3, 2017. The provider is doing business as Fusion Pharmacy.

Where is Fusion Pharmacy LLC located?

Fusion Pharmacy LLC is located at 617 E Riverside Dr Ste 104, St George, UT 84790. The listed phone number is (435) 703-9680.

What is Fusion Pharmacy LLC's specialty?

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

Does Fusion Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2177745) is associated with this NPI, valid through January 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fusion Pharmacy 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 Fusion Pharmacy 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 Fusion Pharmacy LLC was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.