INTERMOUNTAIN TAYLORSVILLE PHARMACY
NPI 1699882852
Pharmacy - Community/Retail Pharmacy in Taylorsville, UT
About Intermountain Taylorsville Pharmacy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERMOUNTAIN TAYLORSVILLE PHARMACY (NPI 1699882852) is a healthcare organization registered as a community/retail pharmacy in Taylorsville, Utah and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 24, 2027 and lists Nannette Berensen, Vice President Of Clinical Systems, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Intermountain Taylorsville Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,727Medicare enrollment records show 1,727 clinicians reassign Medicare billing to Intermountain Taylorsville Pharmacy, which bills Medicare for the services they deliver. Of these, 640 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 71
Nearest to this location (20)
See all 1,727Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Compliance 46D1107598
Intermountain Taylorsville Dermatology · Taylorsville, UTFrequently 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 1699882852. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider is doing business as Intermountain Taylorsville Pharmacy.
Where is Ihc Health Services Inc located?
Ihc Health Services Inc is located at 3845 W 4700 S, Taylorsville, UT 84129. The listed phone number is (801) 840-4350.
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.
Is Ihc Health Services Inc enrolled in Medicare?
Yes. Ihc Health Services Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ihc Health Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,727 clinicians in 71 Medicare specialties reassign their Medicare billing to Ihc Health Services Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (301), Emergency Medicine (190) and Family Practice (162). Of these, 640 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ihc Health Services Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 46D1107598) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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.
# Intermountain Taylorsville Pharmacy · NPI 1699882852
Community/Retail Pharmacy organization in Taylorsville, Utah. Organization record, active in the CMS NPPES registry since August 24, 2006.
## Identity
- **NPI:** 1699882852 (Entity type: Organization)
- **Enumerated:** August 24, 2006
- **Primary specialty:** Pharmacy - Community/Retail Pharmacy · taxonomy 3336C0003X
- **Legal business name:** Ihc Health Services Inc
- **Organization subpart:** Yes (part of Ihc Health Services Inc)
- **Authorized official:** Nannette Berensen, VICE PRESIDENT OF CLINICAL SYSTEMS
## Practice location
- **Address:** 3845 W 4700 S, Taylorsville, UT 84129-3454
- **Phone:** (801) 840-4350 · **Fax:** (801) 840-4357
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,727 clinicians in 71 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (301), Emergency Medicine (190), Family Practice (162); 640 practice within 10 miles; [full list](https://npiprofile.com/npi/1699882852/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2018
- **Other identifiers:** Medicaid =========800 (UT); Other 2099708; Medicaid 1699882852 (UT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1699882852) · Data from the CMS NPPES public registry.