SOUTH JORDAN PHARMACY
NPI 1578652160
Pharmacy - Community/Retail Pharmacy in South Jordan, UT

Q: What is University Of Utah's NPI number?

The NPI number for University Of Utah is 1578652160. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as South Jordan Pharmacy.

Q: What is University Of Utah's specialty?

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

Active since October 12, 2006CLIA 46D2262389 · Accreditation

5126 W DAYBREAK PKWY, ROOM 101, SOUTH JORDAN, UT 84009(801) 213-4550(801) 213-4555 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Jordan Pharmacy NPPES

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

SOUTH JORDAN PHARMACY (NPI 1578652160) is a healthcare organization registered as a community/retail pharmacy in South Jordan, Utah and active in the NPI registry since October 2006. The organization holds an CLIA Accreditation certificate valid through February 21, 2027 and lists Kellee K Howell, Pharmacy Business Operations Manage, as its authorized official.

NPPES Registry Identity

NPI1578652160

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameUNIVERSITY OF UTAH

Location Address5126 W DAYBREAK PKWY, ROOM 101South Jordan, UT 84009-5994

Mailing AddressPo Box 841208Los Angeles, CA 90084-1208 · (801) 587-6334 · Fax (801) 587-2996

Phone(801) 213-4550

Fax(801) 213-4555

Organization SubpartNo

Authorized OfficialKellee K HowellPharmacy Business Operations Manage · (801) 587-6334

Enumeration DateOctober 12, 2006

Last NPPES UpdateMarch 16, 2021

NPPES CertifiedMarch 16, 2021

✔ NPI 1578652160 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 · 81397451703

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.

5126 W DAYBREAK PKWY, South Jordan, UT 84009

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Other Names 1

Doing Business AsSouth Jordan Pharmacy

Other Identifiers 2

Other2100755Pk

Other4609561Ncpdp

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 Accreditation 46D2262389

University Of Utah Health South Jordan Respiratory Therapy · South Jordan, UT

Active · expires Feb 21, 2027

CLIA Number46D2262389

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateFebruary 22, 2025

Certificate Expiration DateFebruary 21, 2027

Laboratory DirectorDr. Karl A. Sanders

Laboratory Phone(801) 213-2976

Laboratory LocationUniversity Of Utah Health South Jordan Respiratory Therapy5126 W Daybreak Pkwy, South Jordan, UT 84009

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 3

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.

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.

107 services106 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

97 services97 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

11 services11 patients

Other Providers at the Same Location NPPES 20

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

CLAYTON DANIEL POWERS DPT

Physical Therapist