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PRIME THERAPEUTICS PHARMACY LLC
NPI 1356790364
Pharmacy - Mail Order Pharmacy in West Valley City, UT

Active since June 09, 2016
2256 S 3600 W STE A, WEST VALLEY CITY, UT 84119(866) 554-2673(866) 364-2673 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, May 26, 2020, Jul 19, 2018 and 4 more (7 updates tracked since 2016).

About Prime Therapeutics Pharmacy Llc NPPES

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

PRIME THERAPEUTICS PHARMACY LLC (NPI 1356790364), doing business as Magellan Rx Pharmacy, Llc, is a healthcare organization registered as a mail order pharmacy in West Valley City, Utah and active in the NPI registry since June 2016. The organization lists Phi Tran, Pic, as its authorized official.

NPPES Registry Identity

NPI1356790364
Entity TypeOrganization
Primary Taxonomy3336M0002X
Legal Business NamePRIME THERAPEUTICS PHARMACY LLC
Location Address2256 S 3600 W STE AWest Valley City, UT 84119-1124
Mailing Address2256 S 3600 W Ste AWest Valley City, UT 84119-1124 · (866) 554-2673 · Fax (866) 364-2673
Phone(866) 554-2673
Fax(866) 364-2673
Organization SubpartNo
Authorized OfficialPhi TranPic · (855) 271-4810
Enumeration DateJune 9, 2016
Last NPPES UpdateSeptember 16, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1356790364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Mail Order PharmacySuppliers
Taxonomy Code3336M0002X
Definition
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License 10303032-1704 (UT)
2256 S 3600 W STE A, West Valley City, UT 84119
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Other Names 1

Former Legal Business NameMagellan Rx Pharmacy, Llc

Other Identifiers 2

Other2162441Pk
Other4613560Nabp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Magellan Rx Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Magellan Rx Pharmacy LLC

DMEPOS supplier · Salt Lake City, UT
✔

Accepts Medicare assignment

Magellan Rx Pharmacy LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20564885
Medicare Participant SinceJuly 11, 2007
Supplier Location2256 S 3600 W Ste ASalt Lake City, UT 84119
Phone(855) 271-4810
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHI T TRAN
Pharmacist
2256 S 3600 W STE A
WEST VALLEY CITY, UT 84119
Salt Lake County (855) 271-4810
PRIME THERAPEUTICS PHARMACY LLC
Pharmacy (Mail Order Pharmacy)
2256 S 3600 W STE A
WEST VALLEY CITY, UT 84119
Salt Lake County (855) 271-4810

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 Prime Therapeutics Pharmacy LLC's NPI number?

The NPI number for Prime Therapeutics Pharmacy LLC is 1356790364. It was assigned to this organization in the NPPES registry on June 9, 2016. The provider was formerly known as Magellan Rx Pharmacy, LLC.

Where is Prime Therapeutics Pharmacy LLC located?

Prime Therapeutics Pharmacy LLC is located at 2256 S 3600 W Ste A, West Valley City, UT 84119. The listed phone number is (866) 554-2673.

What is Prime Therapeutics Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Mail Order Pharmacy, with taxonomy code 3336M0002X.

Does Prime Therapeutics Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Magellan Rx Pharmacy LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Prime Therapeutics Pharmacy LLC accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Oklahoma list Prime Therapeutics Pharmacy LLC 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 Prime Therapeutics Pharmacy LLC was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.