1. Home
  2. Directory
  3. Utah
  4. Eagle Mountain
  5. Pharmacy
  6. NPI Profile

RIDLEY'S PHARMACY #1165
NPI 1548681877
Pharmacy - Community/Retail Pharmacy in Eagle Mountain, UT

Active since January 06, 2014CLIA 46D2087979 · Waiver
4045 E PONY EXPRESS PKWY, EAGLE MOUNTAIN, UT 84005(801) 789-4997(801) 789-4993 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2018, Apr 30, 2018 (2 updates tracked since 2018).

About Ridley's Pharmacy #1165 NPPES

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

RIDLEY'S PHARMACY #1165 (NPI 1548681877) is a healthcare organization registered as a community/retail pharmacy in Eagle Mountain, Utah and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Todd Wise, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1548681877
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRIDLEYS FAMILY MARKETS INC
Location Address4045 E PONY EXPRESS PKWYEagle Mountain, UT 84005-5512
Mailing Address621 Washington St STwin Falls, ID 83301-5519 · (208) 324-4633 · Fax (208) 324-1190
Phone(801) 789-4997
Fax(801) 789-4993
Organization SubpartNo
Authorized OfficialTodd WisePharmacy Director · (801) 358-3365
Enumeration DateJanuary 6, 2014
Last NPPES UpdateJuly 19, 20182 updates tracked since enumeration
✔ NPI 1548681877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 87123051703
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.
Also ListedPharmacyTaxonomy 333600000X
4045 E PONY EXPRESS PKWY, Eagle Mountain, UT 84005
Open in Google Maps ↗

Other Names 1

Doing Business AsRidley's Pharmacy #1165

Other Identifiers 2

Other2143719Pk
Medicaid1548681877UT

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 Arizona Complete Health and more.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 46D2087979

Ridley's Pharmacy #1165 · Eagle Mountain, UT
Active · expires Dec 8, 2026
CLIA Number46D2087979
Laboratory TypePharmacy
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorTodd R. Wise
Laboratory Phone(801) 789-4997
Laboratory LocationRidley's Pharmacy #11654045 E Pony Express Pkwy, Eagle Mountain, UT 84005
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 3

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

DR. JORDAN DAVID RUPP PHARMD
Pharmacist
4045 E PONY EXPRESS PKWY
EAGLE MOUNTAIN, UT 84005
Utah County (801) 789-4997
MICHAEL JARED STUCKI PHARMD
Pharmacist
4045 E PONY EXPRESS PKWY
EAGLE MOUNTAIN, UT 84005
Utah County (801) 789-4997
ERWIN M LASS
Pharmacist
4045 E PONY EXPRESS PKWY
EAGLE MOUNTAIN, UT 84005
Utah County (801) 789-4997

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 Ridleys Family Markets Inc's NPI number?

The NPI number for Ridleys Family Markets Inc is 1548681877. It was assigned to this organization in the NPPES registry on January 6, 2014. The provider is doing business as Ridley's Pharmacy #1165.

Where is Ridleys Family Markets Inc located?

Ridleys Family Markets Inc is located at 4045 E Pony Express Pkwy, Eagle Mountain, UT 84005. The listed phone number is (801) 789-4997.

What is Ridleys Family Markets Inc's specialty?

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

Does Ridleys Family Markets Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2087979) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ridleys Family Markets 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 50 other insurers list Ridleys Family Markets 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 Ridleys Family Markets Inc was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.