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EPHRAIM MARKET FRESH PHARMACY
NPI 1215300660
Pharmacy - Community/Retail Pharmacy in Ephraim, UT

Active since November 06, 2015CLIA 46D2171733 · Waiver
475 S MAIN ST, EPHRAIM, UT 84627(435) 283-0340(435) 283-0341 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 18, 2016, Jan 29, 2016 (2 updates tracked since 2016).

About Ephraim Market Fresh Pharmacy NPPES

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

EPHRAIM MARKET FRESH PHARMACY (NPI 1215300660) is a healthcare organization registered as a community/retail pharmacy in Ephraim, Utah and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Tyler Merrill, President, as its authorized official.

NPPES Registry Identity

NPI1215300660
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMARKET FRESH INC
Location Address475 S MAIN STEphraim, UT 84627-4017
Mailing Address475 S Main StEphraim, UT 84627-4017 · (435) 283-0340 · Fax (435) 283-0341
Phone(435) 283-0340
Fax(435) 283-0341
Organization SubpartNo
Authorized OfficialTyler MerrillPresident · (435) 851-0261
Enumeration DateNovember 6, 2015
Last NPPES UpdateMarch 11, 20162 updates tracked since enumeration
✔ NPI 1215300660 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 · 9508481-1703
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.
475 S MAIN ST, Ephraim, UT 84627
Open in Google Maps ↗

Other Names 1

Doing Business AsEphraim Market Fresh Pharmacy

Other Identifiers 1

Other2154991Pk

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ephraim Market Fresh Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateUtahEnrollment IDO20210120003139Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 46D2171733

Ephraim Market Fresh Pharmacy · Ephraim, UT
Active · expires Sep 8, 2027
CLIA Number46D2171733
Laboratory TypePharmacy
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorTyler Merrill
Laboratory Phone(435) 283-0340
Laboratory LocationEphraim Market Fresh Pharmacy475 S Main Street, Ephraim, UT 84627
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MR. JAMES DARRELL FULLMER RPH
Pharmacist
475 S MAIN ST
EPHRAIM, UT 84627
Sanpete County (435) 283-0340
MARKET FRESH, INC
Pharmacy (Community/Retail Pharmacy)
475 S MAIN ST
EPHRAIM, UT 84627
Sanpete County (435) 283-0340
BHB INC
Pharmacist
475 S MAIN ST
EPHRAIM, UT 84627
Sanpete County (435) 283-0340

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 Market Fresh Inc's NPI number?

The NPI number for Market Fresh Inc is 1215300660. It was assigned to this organization in the NPPES registry on November 6, 2015. The provider is doing business as Ephraim Market Fresh Pharmacy.

Where is Market Fresh Inc located?

Market Fresh Inc is located at 475 S Main St, Ephraim, UT 84627. The listed phone number is (435) 283-0340.

What is Market Fresh Inc's specialty?

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

Is Market Fresh Inc enrolled in Medicare?

Yes. Market Fresh Inc is registered in the Medicare PECOS enrollment system.

When is Market Fresh Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Mass Immunization (Roster Biller Only)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Market Fresh Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2171733) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Market Fresh Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 48 other insurers list Market Fresh Inc 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 Market Fresh Inc was last updated on March 11, 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.