INTERMOUNTAIN PHARMACY #136
NPI 1336692516
Pharmacy - Community/Retail Pharmacy in Ogden, UT
NPI Status: Active since July 25, 2016
Contact Information
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
Phone: (801) 387-8550
Fax: (801) 387-8555
- Organization
- Pharmacy
- Community/Retail Pharmacy
- Accepts Insurance
About INTERMOUNTAIN PHARMACY #136
This page provides the complete NPI Profile along with additional information for Intermountain Pharmacy #136, a provider established in Ogden, Utah operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1336692516 assigned on July 2016. The practitioner's primary taxonomy code is 3336C0003X with license number 9867311-1703 (UT). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Intermountain Pharmacy #136. The authorized official of this NPI record is Nannette Berensen (Vice President Of Clinical Systems)
- NPI
- 1336692516
- Provider Legal Name
- IHC HEALTH SERVICES INC
- Other Organization Name
- INTERMOUNTAIN PHARMACY #136
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3895 HARRISON BLVD OGDEN, UT 84403
- Location Phone
- (801) 387-8550
- Location Fax
- (801) 387-8555
- Mailing Address
- PO BOX 30013 SALT LAKE CITY, UT 84130
- Mailing Phone
- (801) 387-8550
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-25-2016
- Last Update Date
- 07-19-2018
- Code Navigator
Location Map
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 Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- 9867311-1703
- License State
- UT
- Taxonomy Description
- 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.
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) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy | |
| 2 | 3336C0004X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Catastrophic - EPO
- Balance by Medica Catastrophic - PPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Share - PPO
- Balance by Medica Gold Standard - EPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - EPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Share - EPO
- Balance by Medica Silver Share - PPO
- Balance by Medica Silver Standard - EPO
- Balance by Medica Silver Standard - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2160914 | OTHER (01) | PK | |
| 1336692516 | MEDICAID (05) | UT |
Reviews for INTERMOUNTAIN PHARMACY #136
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 6 | 9 | 2 | 5 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 12 | 9 | 4 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 2 + 9 + 4 + 5 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1336692516 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
JUSTIN VERNON BURR
Physical Therapist
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
MRS. MICHELLE DAWSON MS, LAT, ATC
Specialist/Technologist
(Athletic Trainer)
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
SUMMER YACK
Physical Therapy Assistant
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
KEVIN DALE NEWBOLD
Nurse Practitioner
(Family)
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
SHANE EDWIN HANCOCK PHARMD
Pharmacist
3895 HARRISON BLVD
C/O 1ST FLOOR PHARMACY
OGDEN, UT
ZIP 84403
DR. TYSON JORGENSEN DPT
Physical Therapist
(Orthopedic)
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
LAILA GERACE DPT
Physical Therapist
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
MICHAEL AMEYE DPT
Physical Therapist
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
BRYSON MARK ROUNDY
Physician Assistant
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
TARA NICOLE RILEY DPT
Physical Therapist
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
MARRI COOPER OTR/L
Occupational Therapist
(Physical Rehabilitation)
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
KELLY HENDERSON HARLAN ATC
Physical Medicine & Rehabilitation
(Sports Medicine)
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
JESSICA COOPER
Physical Therapist
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
MCKAY DEE SURGICAL CENTER LLC
Clinic/Center
(Ambulatory Surgical)
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
SPENCER STEPHEN VALENTINE MOT
Occupational Therapist
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
MISS JULIA ECK OT
Occupational Therapist
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
DANIEL JOSEPH FOSTER
Physical Therapist
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
TANEISHA ESPLIN JOLLEY OTR/L
Occupational Therapist
3895 HARRISON BLVD
OGDEN, UT
ZIP 84403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336692516, enumerated as an "organization" on July 25, 2016.
The provider is located at 3895 HARRISON BLVD OGDEN, UT 84403 and the phone number is (801) 387-8550.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
