HRX PHARMACY LLC
NPI 1417400797
Pharmacy - Community/Retail Pharmacy in Salt Lake City, UT

Q: What is Hrx Pharmacy LLC's NPI number?

The NPI number for Hrx Pharmacy LLC is 1417400797. It was assigned to this organization in the NPPES registry on August 3, 2016.

Q: What is Hrx Pharmacy LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hrx Pharmacy LLC was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 03, 2016

4227 S HIGHLAND DR, SUITE 6, SALT LAKE CITY, UT 84124(801) 553-3426(801) 553-2540 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Hrx Pharmacy Llc NPPES

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

HRX PHARMACY LLC (NPI 1417400797) is a healthcare organization registered as a community/retail pharmacy in Salt Lake City, Utah and active in the NPI registry since August 2016. The organization lists Cody Walker, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1417400797

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHRX PHARMACY LLC

Location Address4227 S HIGHLAND DR, SUITE 6Salt Lake City, UT 84124-2645

Mailing Address4227 S Highland Dr, Suite 6Salt Lake City, UT 84124-2645 · (801) 553-3426 · Fax (801) 553-2540

Phone(801) 553-3426

Fax(801) 553-2540

Organization SubpartNo

Authorized OfficialCody WalkerPharmacist · (801) 898-7132

Enumeration DateAugust 3, 2016

Last NPPES UpdateSeptember 20, 2023

NPPES CertifiedSeptember 20, 2023

✔ NPI 1417400797 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 · 9871861-1703

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.

4227 S HIGHLAND DR, Salt Lake City, UT 84124

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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)

Hrx Pharmacy Llc 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 IDO20210219001605Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 Hrx Pharmacy LLC's NPI number?

The NPI number for Hrx Pharmacy LLC is 1417400797. It was assigned to this organization in the NPPES registry on August 3, 2016.

Where is Hrx Pharmacy LLC located?

Hrx Pharmacy LLC is located at 4227 S Highland Dr Suite 6, Salt Lake City, UT 84124. The listed phone number is (801) 553-3426.

What is Hrx Pharmacy LLC's specialty?

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

Is Hrx Pharmacy LLC enrolled in Medicare?

Yes. Hrx Pharmacy LLC is registered in the Medicare PECOS enrollment system.

When is Hrx Pharmacy LLC'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.

What insurance does Hrx Pharmacy LLC 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 47 other insurers list Hrx 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 Hrx Pharmacy LLC was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.