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

NPI Status: Active since February 02, 2012

Contact Information

339 E 3900 S
SUITE 155
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 263-1056
Fax: (801) 261-3701

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  • Organization
  • Pharmacy
  • Institutional Pharmacy
  • Accepts Insurance

About DE NOVO SERVICES LLC

This page provides the complete NPI Profile along with additional information for De Novo Services Llc, a provider established in Salt Lake City, Utah operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1164794434 assigned on February 2012. The practitioner's primary taxonomy code is 3336I0012X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jerry Costley (Director / Owner)

NPI
1164794434
Provider Name
DE NOVO SERVICES LLC
Entity Type
Organization
Location Address
339 E 3900 S SUITE 155 SALT LAKE CITY, UT 84107
Location Phone
(801) 263-1056
Location Fax
(801) 261-3701
Mailing Address
339 E 3900 S SUITE 155 SALT LAKE CITY, UT 84107
Mailing Phone
(801) 263-1056
Mailing Fax
(801) 261-3701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2012
Last Update Date
08-03-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Institutional Pharmacy

Taxonomy Code
3336I0012X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
22084A0401XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Medicine

 
3261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO
  • U Health Plus Bronze - EPO
  • U Health Plus Expanded Bronze Standard - EPO
  • U Health Plus Gold - EPO
  • U Health Plus Gold Standard - EPO
  • U Health Plus Silver - EPO
  • U Health Plus Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JERRY COSTLEY

Authorized Official Title
DIRECTOR / OWNER
Authorized Official Phone
(801) 263-1056

Reviews for DE NOVO SERVICES LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164794434, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 4 + 9 + 8 + 4 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1164794434.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Clinic/Center (Methadone)
339 E 3900 S, SUITE 101
SALT LAKE CITY, UT 84107
Pharmacy
339 E 3900 S, SUITE 150
SALT LAKE CITY, UT 84107
Pharmacy Technician
339 E 3900 S
SALT LAKE CITY, UT 84107
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
339 E 3900 S, SUITE 150
SALT LAKE CITY, UT 84107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164794434, enumerated as an "organization" on February 02, 2012.

The provider is located at 339 E 3900 S SUITE 155 SALT LAKE CITY, UT 84107 and the phone number is (801) 263-1056.

Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.