EDGEMONT PHARMACY
NPI 1659301885
Pharmacy - Community/Retail Pharmacy in Provo, UT

Q: What is Red Beaker Inc's NPI number?

The NPI number for Red Beaker Inc is 1659301885. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Edgemont Pharmacy.

Q: What is Red Beaker Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Red Beaker 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.

Active since July 04, 2006CLIA 46D2298117 · Waiver

3661 N CANYON RD, PROVO, UT 84604(801) 226-7994(801) 226-2166 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

On this page

About Edgemont Pharmacy NPPES

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

EDGEMONT PHARMACY (NPI 1659301885) is a healthcare organization registered as a community/retail pharmacy in Provo, Utah and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Mike Chamberlain, Owner / Rph, as its authorized official.

NPPES Registry Identity

NPI1659301885

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameRED BEAKER INC

Location Address3661 N CANYON RDProvo, UT 84604-4536

Mailing Address3661 N Canyon RdProvo, UT 84604-4536 · (801) 226-7994 · Fax (801) 226-2166

Phone(801) 226-7994

Fax(801) 226-2166

Organization SubpartNo

Authorized OfficialMike ChamberlainOwner / Rph · (801) 226-7994

Enumeration DateJuly 4, 2006

Last NPPES UpdateJuly 19, 20182 updates tracked since enumeration

✔ NPI 1659301885 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 · 45500841703

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

3661 N CANYON RD, Provo, UT 84604

Open in Google Maps ↗

Other Names 1

Doing Business AsEdgemont Pharmacy

Other Identifiers 2

Medicaid870349306009UT

Other2107781Pk

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 Arkansas Health & Wellness 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 46D2298117

Edgemont Pharmacy · Provo, UT

Active · expires Jan 28, 2028

CLIA Number46D2298117

Laboratory TypePharmacy

Certificate Effective DateJanuary 29, 2026

Certificate Expiration DateJanuary 28, 2028

Laboratory DirectorMike Chamberlain

Laboratory Phone(801) 226-7994

Laboratory LocationEdgemont Pharmacy3661 N Canyon Rd, Provo, UT 84604

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

305 services303 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.

287 services287 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.

42 services42 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

42 services42 patients

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Edgemont Pharmacy carries, from the Medicare DMEPOS supplier directory.

Edgemont Pharmacy

DMEPOS supplier · Provo, UTOperated by Red Beaker Inc

✔

Accepts Medicare assignment

Edgemont Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20585663

Medicare Participant SinceJanuary 1, 2005

Supplier Location3661 N Canyon RdProvo, UT 84604

Phone(801) 226-7994

Supplier Specialties

Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

MIKE CHAMBERLAIN RPH

Pharmacist

3661 N CANYON RD
PROVO, UT 84604

Utah County (801) 226-7994

TIFFANI CASTRO PHARMD

Pharmacist

3661 N CANYON RD
PROVO, UT 84604

Utah County (801) 226-7994

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 Red Beaker Inc's NPI number?

The NPI number for Red Beaker Inc is 1659301885. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Edgemont Pharmacy.

Where is Red Beaker Inc located?

Red Beaker Inc is located at 3661 N Canyon Rd, Provo, UT 84604. The listed phone number is (801) 226-7994.

What is Red Beaker Inc's specialty?

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

Does Red Beaker Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Edgemont Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Red Beaker Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2298117) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Red Beaker Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 39 other insurers list Red Beaker 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 Red Beaker 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.