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FRESH MARKET PHARMACY #2365
NPI 1811221047
Pharmacy in Park City, UT

Active since September 21, 2009CLIA 46D1031891 · Waiver
1760 PARK AVE, PARK CITY, UT 84060(435) 649-6264(435) 655-7176 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2019, Oct 2, 2015 (2 updates tracked since 2015).

About Fresh Market Pharmacy #2365 NPPES

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

FRESH MARKET PHARMACY #2365 (NPI 1811221047) is a healthcare organization registered as a pharmacy in Park City, Utah and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Shawna Hanson, Director, Pharmacy Operations, as its authorized official.

NPPES Registry Identity

NPI1811221047
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameASSOCIATED FRESH MARKETS INC
Location Address1760 PARK AVEPark City, UT 84060-5125
Mailing AddressPo Box 26908Salt Lake City, UT 84126-0908 · (801) 978-8225 · Fax (801) 978-8634
Phone(435) 649-6264
Fax(435) 655-7176
Organization SubpartNo
Authorized OfficialShawna HansonDirector, Pharmacy Operations · (801) 978-8309
Enumeration DateSeptember 21, 2009
Last NPPES UpdateSeptember 24, 20192 updates tracked since enumeration
✔ NPI 1811221047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in UT · 7442340-1703
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1760 PARK AVE, Park City, UT 84060
Open in Google Maps ↗

Other Names 1

Doing Business AsFresh Market Pharmacy #2365

Other Identifiers 2

Medicaid1811221047UT
Other2121834Pk

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 Waiver 46D1031891

Fresh Market Pharmacy #2365 · Park City, UT
Active · expires Dec 20, 2026
CLIA Number46D1031891
Laboratory TypePharmacy
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorJames Dix
Laboratory Phone(435) 649-6264
Laboratory LocationFresh Market Pharmacy #23651760 Park Avenue, Park City, UT 84060
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 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.
57 services57 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.
31 services31 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 patients

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.

JIM DIX PHARMD
Pharmacist
1760 PARK AVE
PARK CITY, UT 84060
Summit County (435) 649-6264
TERRI HARDY PHARM.D.
Pharmacist
1760 PARK AVE
PARK CITY, UT 84060
Summit County (435) 649-6264

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 Associated Fresh Markets Inc's NPI number?

The NPI number for Associated Fresh Markets Inc is 1811221047. It was assigned to this organization in the NPPES registry on September 21, 2009. The provider is doing business as Fresh Market Pharmacy #2365.

Where is Associated Fresh Markets Inc located?

Associated Fresh Markets Inc is located at 1760 Park Ave, Park City, UT 84060. The listed phone number is (435) 649-6264.

What is Associated Fresh Markets Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Associated Fresh Markets Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1031891) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Associated Fresh Markets Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Associated Fresh Markets 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 Associated Fresh Markets Inc was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.