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UTAH STATE HOSPITAL PHARMACY
NPI 1316218449
Pharmacy - Institutional Pharmacy in Provo, UT

Active since January 20, 2012CLIA 46D0525415 · Waiver
1300 EAST CENTER STREET, PROVO, UT 84606(801) 344-4601(801) 344-4604 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Utah State Hospital Pharmacy NPPES

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

UTAH STATE HOSPITAL PHARMACY (NPI 1316218449) is a healthcare organization registered as an institutional pharmacy in Provo, Utah and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Dallas L. Earnshaw, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1316218449
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameUTAH STATE HOSPITAL PHARMACY
Location Address1300 EAST CENTER STREETProvo, UT 84606-3554
Mailing AddressPo Box 270Provo, UT 84603-0270 · (801) 344-4601
Phone(801) 344-4601
Fax(801) 344-4604
Organization SubpartNo
Authorized OfficialDallas L. EarnshawSuperintendent · (801) 344-4200
Enumeration DateJanuary 20, 2012
Last NPPES UpdateJuly 25, 2019
✔ NPI 1316218449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1300 EAST CENTER STREET, Provo, UT 84606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Molina Healthcare 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 46D0525415

Utah State Hospital · Provo, UT
Active · expires Jan 2, 2027
CLIA Number46D0525415
Laboratory TypeOther
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDallas Earnshaw Ms Rn
Laboratory Phone(801) 344-4200
Laboratory LocationUtah State Hospital1300 E Center, Provo, UT 84606
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Utah State Hospital Pharmacy's NPI number?

The NPI number for Utah State Hospital Pharmacy is 1316218449. It was assigned to this organization in the NPPES registry on January 20, 2012.

Where is Utah State Hospital Pharmacy located?

Utah State Hospital Pharmacy is located at 1300 East Center Street, Provo, UT 84606. The listed phone number is (801) 344-4601.

What is Utah State Hospital Pharmacy's specialty?

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

Does Utah State Hospital Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0525415) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Utah State Hospital Pharmacy accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Molina Healthcare, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Utah State Hospital Pharmacy 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 Utah State Hospital Pharmacy was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.