JOLLEYS SANDY PHARMACY
NPI 1518046283
Pharmacy - Compounding Pharmacy in Sandy, UT

Active since November 03, 2006CLIA 46D2201487 · Waiver
9829 S 1300 E, SUITE 100, SANDY, UT 84094(801) 571-0201(801) 571-6050 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2021, Jul 11, 2016 (2 updates tracked since 2016).

About Jolleys Sandy Pharmacy NPPES

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

JOLLEYS SANDY PHARMACY (NPI 1518046283) is a healthcare organization registered as a compounding pharmacy in Sandy, Utah and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 19, 2026 and lists Troy Johansen, Manager, as its authorized official.

NPPES Registry Identity

NPI1518046283
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameT & R PHARMACEUTICAL LLC
Location Address9829 S 1300 E, SUITE 100Sandy, UT 84094-4000
Mailing Address9829 S 1300 E, Suite 100Sandy, UT 84094-4000 · (801) 571-0201 · Fax (801) 571-6050
Fax(801) 571-6050
Organization SubpartNo
Authorized OfficialTroy JohansenManager · (801) 571-0201
Enumeration DateNovember 3, 2006
Last NPPES UpdateNovember 8, 20212 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
NPI 1518046283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License Licensed in UT · 62985071703
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
9829 S 1300 E, Sandy, UT 84094

Other Names 1

Doing Business AsJolleys Sandy Pharmacy

Other Identifiers 1

Other2108210Pk

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 46D2201487

Jolley's Sandy Pharmacy · Sandy, UT
Active · expires Nov 19, 2026
CLIA Number46D2201487
Laboratory TypePharmacy
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorTroy Johanson
Laboratory Phone(801) 571-0201
Laboratory LocationJolley's Sandy Pharmacy9829 S 1300 E, Sandy, UT 84094
CLIA data matches this NPI record on: Address 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.

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.
14 services13 patients
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.
14 services13 patients

Other Providers at the Same Location NPPES 8

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

Pharmacist
9829 S 1300 E, SUUITE 100
SANDY, UT 84094
Physician Assistant (Medical)
9829 S 1300 E, SUITE 303
SANDY, UT 84094
Family Medicine
9829 S 1300 E, SUITE 302
SANDY, UT 84094
Specialist
9829 S 1300 E, 200
SANDY, UT 84094
Dentist
9829 S 1300 E, #201
SANDY, UT 84094
Specialist
9829 S 1300 E, STE 302
SANDY, UT 84094
Dentist
9829 S 1300 E, SUITE 102
SANDY, UT 84094
Internal Medicine (Gastroenterology)
9829 S 1300 E, SUITE 300 GRANITE PEAKS GASTROENTEROLOGY
SANDY, UT 84094

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 T & R Pharmaceutical LLC's NPI number?

The NPI number for T & R Pharmaceutical LLC is 1518046283. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Jolleys Sandy Pharmacy.

Where is T & R Pharmaceutical LLC located?

T & R Pharmaceutical LLC is located at 9829 S 1300 E Suite 100, Sandy, UT 84094. The listed phone number is (801) 571-0201.

What is T & R Pharmaceutical LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

Does T & R Pharmaceutical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2201487) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does T & R Pharmaceutical LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 40 other insurers list T & R Pharmaceutical 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 T & R Pharmaceutical LLC was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.