1. Home
  2. Directory
  3. Utah
  4. Roosevelt
  5. Pharmacy
  6. NPI Profile

STEWARTS BASIN FAMILY PHARMACY
NPI 1124499553
Pharmacy - Community/Retail Pharmacy in Roosevelt, UT

Active since October 12, 2015CLIA 46D2159838 · Waiver
245 W HIGHWAY 40, ROOSEVELT, UT 84066(435) 722-2454(435) 722-4191 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stewarts Basin Family Pharmacy NPPES

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

STEWARTS BASIN FAMILY PHARMACY (NPI 1124499553) is a healthcare organization registered as a community/retail pharmacy in Roosevelt, Utah and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Brandon Luke, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1124499553
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSTEWART PHARMACY, LLC
Location Address245 W HIGHWAY 40Roosevelt, UT 84066-3712
Mailing Address245 W Highway 40Roosevelt, UT 84066-3712 · (435) 722-2454 · Fax (435) 722-4191
Phone(435) 722-2454
Fax(435) 722-4191
Organization SubpartNo
Authorized OfficialBrandon LukePharmacy Manager · (435) 722-2454
Enumeration DateOctober 12, 2015
Last NPPES UpdateMay 5, 2016
✔ NPI 1124499553 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 · 9534004-1703
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.
245 W HIGHWAY 40, Roosevelt, UT 84066
Open in Google Maps ↗

Other Names 1

Doing Business AsStewarts Basin Family Pharmacy

Other Identifiers 2

Other9534004-1703UT · State License
Medicare NSC7489710001UT

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 46D2159838

Stewart Pharmacy · Roosevelt, UT
Active · expires Dec 26, 2026
CLIA Number46D2159838
Laboratory TypePharmacy
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorMark Stewart
Laboratory Phone(435) 722-2454
Laboratory LocationStewart Pharmacy245 W Hwy 40, Roosevelt, UT 84066
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 4

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.
94 services93 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.
88 services88 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Stewarts Basin Family Pharmacy carries, from the Medicare DMEPOS supplier directory.

Stewarts Basin Family Pharmacy

DMEPOS supplier · Roosevelt, UTOperated by Stewart Pharmacy LLC
✔

Accepts Medicare assignment

Stewarts Basin Family Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20479091
Medicare Participant SinceFebruary 1, 2016
Supplier Location245 W Hwy 40Roosevelt, UT 84066
Phone(435) 722-2454
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

BASIN FAMILY PHARMACY
Pharmacy (Community/Retail Pharmacy)
245 W HIGHWAY 40
ROOSEVELT, UT 84066
Duchesne County (435) 722-2454
CORY ALAN CHRISTENSEN RPH
Pharmacist
245 W HIGHWAY 40
ROOSEVELT, UT 84066
Duchesne County (435) 722-2454
JEFFREY BRINKERHOFF LUKE RPH
Pharmacist
245 W HIGHWAY 40
ROOSEVELT, UT 84066
Duchesne County (435) 722-2454

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 Stewart Pharmacy, LLC's NPI number?

The NPI number for Stewart Pharmacy, LLC is 1124499553. It was assigned to this organization in the NPPES registry on October 12, 2015. The provider is doing business as Stewarts Basin Family Pharmacy.

Where is Stewart Pharmacy, LLC located?

Stewart Pharmacy, LLC is located at 245 W Highway 40, Roosevelt, UT 84066. The listed phone number is (435) 722-2454.

What is Stewart Pharmacy, LLC's specialty?

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

Does Stewart Pharmacy, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Stewarts Basin Family Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Stewart Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2159838) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stewart 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 Stewart 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 Stewart Pharmacy, LLC was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.