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PROFESSIONAL PLAZA PHARMACY, INC
NPI 1316958804
Pharmacy - Community/Retail Pharmacy in Layton, UT

Active since August 10, 2006CLIA 46D2171730 · Waiver
2065 N ROBBINS DR, LAYTON, UT 84041(801) 773-3863(801) 773-3892 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2017, Mar 30, 2016 (2 updates tracked since 2016).

About Professional Plaza Pharmacy, Inc NPPES

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

PROFESSIONAL PLAZA PHARMACY, INC (NPI 1316958804) is a healthcare organization registered as a community/retail pharmacy in Layton, Utah and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists George Hamblin, President, as its authorized official.

NPPES Registry Identity

NPI1316958804
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROFESSIONAL PLAZA PHARMACY INC
Location Address2065 N ROBBINS DRLayton, UT 84041-1133
Mailing Address2065 N Robbins DrLayton, UT 84041-1133 · (801) 773-3863 · Fax (801) 773-3892
Phone(801) 773-3863
Fax(801) 773-3892
Organization SubpartNo
Authorized OfficialGeorge HamblinPresident · (801) 773-3863
Enumeration DateAugust 10, 2006
Last NPPES UpdateOctober 17, 20172 updates tracked since enumeration
✔ NPI 1316958804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 1335541703
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.
Also ListedPharmacyTaxonomy 333600000X
2065 N ROBBINS DR, Layton, UT 84041
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Other Names 1

Doing Business AsProfessional Plaza Pharmacy, Inc

Other Identifiers 3

Other2107760Pk
Medicare NSC0344500001
Medicaid=========005UT

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 46D2171730

Professional Plaza Pharmacy · Layton, UT
Active · expires Sep 8, 2027
CLIA Number46D2171730
Laboratory TypePharmacy
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorKenneth L. Ernstrom
Laboratory Phone(801) 773-3863
Laboratory LocationProfessional Plaza Pharmacy2065 N Robins Drive, Layton, UT 84041
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
45 services45 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
43 services43 patients

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 Professional Plaza Pharmacy Inc's NPI number?

The NPI number for Professional Plaza Pharmacy Inc is 1316958804. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Professional Plaza Pharmacy, Inc.

Where is Professional Plaza Pharmacy Inc located?

Professional Plaza Pharmacy Inc is located at 2065 N Robbins Dr, Layton, UT 84041. The listed phone number is (801) 773-3863.

What is Professional Plaza Pharmacy Inc's specialty?

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

Does Professional Plaza Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2171730) 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 Professional Plaza Pharmacy Inc 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 49 other insurers list Professional Plaza Pharmacy 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 Professional Plaza Pharmacy Inc was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.