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INTERMOUNTAIN SOUTHRIDGE PHARMACY
NPI 1649401969
Pharmacy - Community/Retail Pharmacy in Riverton, UT

Active since August 04, 2009
3723 W 12600 S STE 170, RIVERTON, UT 84065(801) 285-4500(801) 285-4501 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2018, May 3, 2018 (2 updates tracked since 2018).

About Intermountain Southridge Pharmacy NPPES

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

INTERMOUNTAIN SOUTHRIDGE PHARMACY (NPI 1649401969) is a healthcare organization registered as a community/retail pharmacy in Riverton, Utah and active in the NPI registry since August 2009. The organization lists Nannette Berensen, Vice President Of Clinical Systems, as its authorized official.

NPPES Registry Identity

NPI1649401969
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameIHC HEALTH SERVICES INC
Location Address3723 W 12600 S STE 170Riverton, UT 84065-7296
Mailing AddressPo Box 30013Salt Lake City, UT 84130-0013 · (801) 285-4500 · Fax (801) 442-3133
Phone(801) 285-4500
Fax(801) 285-4501
Organization SubpartYes
Authorized OfficialNannette BerensenVice President Of Clinical Systems · (801) 284-1005
Enumeration DateAugust 4, 2009
Last NPPES UpdateJuly 19, 20182 updates tracked since enumeration
✔ NPI 1649401969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 7359499-1703
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
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
3723 W 12600 S STE 170, Riverton, UT 84065
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Other Names 1

Doing Business AsIntermountain Southridge Pharmacy

Other Identifiers 4

Other2121208Pk
Medicaid1649401969UT
Medicaid1649401969ID
Medicaid1649401969WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

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

AUSTIN DONALD REESE PHARMD
Pharmacist
3723 W 12600 S STE 170
RIVERTON, UT 84065
Salt Lake County (801) 285-4500

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 Ihc Health Services Inc's NPI number?

The NPI number for Ihc Health Services Inc is 1649401969. It was assigned to this organization in the NPPES registry on August 4, 2009. The provider is doing business as Intermountain Southridge Pharmacy.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 3723 W 12600 S Ste 170, Riverton, UT 84065. The listed phone number is (801) 285-4500.

What is Ihc Health Services Inc's specialty?

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

What insurance does Ihc Health Services Inc accept?

Health plans from Medica list Ihc Health Services 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 Ihc Health Services 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.