DE NOVO SERVICES LLC
NPI 1164794434
Pharmacy - Institutional Pharmacy in Salt Lake City, UT

Q: What is De Novo Services LLC's NPI number?

The NPI number for De Novo Services LLC is 1164794434. It was assigned to this organization in the NPPES registry on February 2, 2012.

Q: What is De Novo Services LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Active since February 02, 2012

339 E 3900 S, SUITE 155, SALT LAKE CITY, UT 84107(801) 263-1056(801) 261-3701 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2020, Mar 11, 2019 (2 updates tracked since 2019).

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About De Novo Services Llc NPPES

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

DE NOVO SERVICES LLC (NPI 1164794434) is a healthcare organization registered as an institutional pharmacy in Salt Lake City, Utah and active in the NPI registry since February 2012. The organization lists Jerry Costley, Director / Owner, as its authorized official.

NPPES Registry Identity

NPI1164794434

Entity TypeOrganization

Primary Taxonomy3336I0012X

Legal Business NameDE NOVO SERVICES LLC

Location Address339 E 3900 S, SUITE 155Salt Lake City, UT 84107-1677

Mailing Address339 E 3900 S, Suite 155Salt Lake City, UT 84107-1677 · (801) 263-1056 · Fax (801) 261-3701

Phone(801) 263-1056

Fax(801) 261-3701

Organization SubpartNo

Authorized OfficialJerry CostleyDirector / Owner · (801) 263-1056

Enumeration DateFebruary 2, 2012

Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration

NPPES CertifiedAugust 3, 2020

✔ NPI 1164794434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers

Taxonomy Code3336I0012X

Definition

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

339 E 3900 S, Salt Lake City, UT 84107

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 5

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

MR. LUCAS N HENDRICKS

Pharmacy Technician

339 E 3900 S
SALT LAKE CITY, UT 84107

Salt Lake County (801) 350-1674

HOLLY ANN KEPAS ACMHC

Counselor (Mental Health)

339 E 3900 S
SALT LAKE CITY, UT 84107

Salt Lake County (801) 341-9448

METAMORPHOSIS SALT LAKE CITY, INC.

Clinic/Center (Methadone)

339 E 3900 S, SUITE 101
SALT LAKE CITY, UT 84107

Salt Lake County (801) 261-5790

COLD FRONT PHARMACY

Pharmacy

339 E 3900 S, SUITE 150
SALT LAKE CITY, UT 84107

Salt Lake County (801) 350-1674

FUTURE RISING AGENCY

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

339 E 3900 S, SUITE 150
SALT LAKE CITY, UT 84107

Salt Lake County (801) 889-5703

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 De Novo Services LLC's NPI number?

The NPI number for De Novo Services LLC is 1164794434. It was assigned to this organization in the NPPES registry on February 2, 2012.

Where is De Novo Services LLC located?

De Novo Services LLC is located at 339 E 3900 S Suite 155, Salt Lake City, UT 84107. The listed phone number is (801) 263-1056.

What is De Novo Services LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

What insurance does De Novo Services LLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list De Novo Services 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 De Novo Services LLC was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.