FUSION SPECIALTY PHARMACY INC
NPI 1508104712
Pharmacy - Community/Retail Pharmacy in Santa Clara, UT

Active since January 23, 2013CLIA 46D2141733 · Waiver
1100 CANYON VIEW DR STE C, SANTA CLARA, UT 84765(435) 703-9680(855) 853-3465 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2025, Dec 29, 2020, Mar 13, 2017 and 2 more (5 updates tracked since 2015).

About Fusion Specialty Pharmacy Inc NPPES

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

FUSION SPECIALTY PHARMACY INC (NPI 1508104712), doing business as Fusion Specialty Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Santa Clara, Utah and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Koby Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1508104712
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFUSION SPECIALTY PHARMACY INC
Location Address1100 CANYON VIEW DR STE CSanta Clara, UT 84765-5672
Mailing Address1100 Canyon View Dr, Ste CSanta Clara, UT 84765-5671 · (435) 703-9680 · Fax (855) 853-3465
Fax(855) 853-3465
Organization SubpartNo
Authorized OfficialKoby TaylorPresident · (435) 703-9680
Enumeration DateJanuary 23, 2013
Last NPPES UpdateFebruary 5, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
NPI 1508104712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Licenses Licensed in AK · 1260 Licensed in MO · 2013016261 Licensed in NV · PH02951 Licensed in ID · 21457MS Licensed in KS · 22-13015 Licensed in CO · OSP.0006181 Licensed in MT · PHA-MOP-LIC-21763 Licensed in HI · PMP-966 Licensed in OR · RP-0002986-CS Licensed in NY · 033401 Licensed in NM · PH000039111 Licensed in OH · NRP.022647900-03 Licensed in NJ · 28RO00142300 Licensed in FL · PH30592 Licensed in GA · PHNR001096
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.

1100 CANYON VIEW DR STE C, Santa Clara, UT 84765

Other Names 1

Doing Business AsFusion Specialty Pharmacy

Other Identifiers 1

Other2138783Pk

Accepted 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 46D2141733

Fusion Specialty Pharmacy · Santa Clara, UT
Active · expires Dec 19, 2027
CLIA Number46D2141733
Laboratory TypePharmacy
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorTravis S. Snow
Laboratory Phone(435) 703-9680
Laboratory LocationFusion Specialty Pharmacy1100 Canyon View Drive, Ste C, Santa Clara, UT 84765
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Pharmacist
1100 CANYON VIEW DR STE C
SANTA CLARA, UT 84765
Pharmacist
1100 CANYON VIEW DR STE C
SANTA CLARA, UT 84765

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 Fusion Specialty Pharmacy Inc's NPI number?

The NPI number for Fusion Specialty Pharmacy Inc is 1508104712. It was assigned to this organization in the NPPES registry on January 23, 2013. The provider is doing business as Fusion Specialty Pharmacy.

Where is Fusion Specialty Pharmacy Inc located?

Fusion Specialty Pharmacy Inc is located at 1100 Canyon View Dr Ste C, Santa Clara, UT 84765. The listed phone number is (435) 703-9680.

What is Fusion Specialty Pharmacy Inc's specialty?

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

Does Fusion Specialty Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2141733) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fusion Specialty 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 42 other insurers list Fusion Specialty 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 Fusion Specialty Pharmacy Inc was last updated on February 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.