JOLLEYS CORNER PHARMACY
NPI 1588724397
Pharmacy Technician in Salt Lake City, UT

NPI Status: Active since December 11, 2006

Contact Information

1676 E 1300 S
SALT LAKE CITY, UT
ZIP 84105
Phone: (801) 582-1999
Fax: (801) 582-1270

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  • Organization
  • Pharmacy Technician
  • Accepts Insurance
  • CLIA Number: 46D2146067
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 03-20-2026

About JOLLEYS CORNER PHARMACY

This page provides the complete NPI Profile along with additional information for Jolleys Corner Pharmacy, a provider established in Salt Lake City, Utah operating as a Pharmacy Technician. The healthcare provider is registered in the NPI registry with number 1588724397 assigned on December 2006. The practitioner's primary taxonomy code is 183700000X with license number 57508311717 (UT). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Jolleys Corner Pharmacy. The authorized official of this NPI record is M Bryce Jolley (President)

NPI
1588724397
Provider Legal Name
JOLLEY'S CORNER VARIETY, INC.
Other Organization Name
JOLLEYS CORNER PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1676 E 1300 S SALT LAKE CITY, UT 84105
Location Phone
(801) 582-1999
Location Fax
(801) 582-1270
Mailing Address
1676 E 1300 S SALT LAKE CITY, UT 84105
Mailing Phone
(801) 582-1999
Mailing Fax
(801) 582-1270
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2006
Last Update Date
03-03-2015
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Technician

Taxonomy Code
183700000X
Type
Pharmacy Service Providers
License No.
57508311717
License State
UT
Taxonomy Description
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

M BRYCE JOLLEY

Authorized Official Title
PRESIDENT
Authorized Official Phone
(801) 582-1999

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2146067
Facility Type
Pharmacy
Certificate Effective Date
March 21, 2024
Certificate Expiration Date
March 20, 2026
Laboratory Director
TREVOR R. JOLLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jolleys Corner Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for JOLLEYS CORNER PHARMACY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588724397, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 1 + 4 + 2 + 8 + 3 + 1 + 8 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1588724397.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pharmacist
1676 E 1300 S
SLC, UT 84105
Pharmacist
1676 E 1300 S
SALT LAKE CITY, UT 84105
Pharmacy (Community/Retail Pharmacy)
1676 E 1300 S
SALT LAKE CITY, UT 84105
Pharmacist (Ambulatory Care)
1676 E 1300 S
SALT LAKE CITY, UT 84105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588724397, enumerated as an "organization" on December 11, 2006.

The provider is located at 1676 E 1300 S SALT LAKE CITY, UT 84105 and the phone number is (801) 582-1999.

Pharmacy Technician with taxonomy code 183700000X.

The provider might be accepting Accepts: Medica and Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.