UNIVERSITY OF UTAH SOUTH JORDAN MAIL ORDER PHARMACY
NPI 1821286691
Pharmacy - Mail Order Pharmacy in South Jordan, UT

NPI Status: Active since October 05, 2007

Contact Information

1091 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 213-9850

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  • Organization
  • Pharmacy
  • Mail Order Pharmacy
  • CLIA Number: 46D2035976
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 01-29-2026

About UNIVERSITY OF UTAH SOUTH JORDAN MAIL ORDER PHARMACY

This page provides the complete NPI Profile along with additional information for University Of Utah South Jordan Mail Order Pharmacy, a provider established in South Jordan, Utah operating as a Pharmacy, focusing in mail order pharmacy . The healthcare provider is registered in the NPI registry with number 1821286691 assigned on October 2007. The practitioner's primary taxonomy code is 3336M0002X with license number 5546220-1703 (UT). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Michael Kelly Rph (Pharmacy Director)

NPI
1821286691
Provider Name
UNIVERSITY OF UTAH SOUTH JORDAN MAIL ORDER PHARMACY
Entity Type
Organization
Location Address
1091 W SOUTH JORDAN PKWY SOUTH JORDAN, UT 84095
Location Phone
(801) 213-9850
Mailing Address
127 S 500 E SUITE 160 SALT LAKE CITY, UT 84102
Mailing Phone
(801) 587-6322
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2007
Last Update Date
04-20-2008
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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 Mail Order Pharmacy

Taxonomy Code
3336M0002X
Type
Suppliers
License No.
5546220-1703
License State
UT
Taxonomy Description
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. MICHAEL KELLY RPH

Authorized Official Title
PHARMACY DIRECTOR
Authorized Official Phone
(801) 587-6325

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========002MEDICAID (05)UT 

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
46D2035976
Facility Type
Community Clinic
Certificate Effective Date
January 30, 2024
Certificate Expiration Date
January 29, 2026
Laboratory Director
MICAH G. OWNBEY
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to University Of Utah South Jordan Mail Order Pharmacy in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1821286691, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 2 → 4 2 → 4 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 4 + 8 + 1 + 2 + 6 + 1 + 8 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1821286691.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist
1091 W SOUTH JORDAN PKWY, SUITE 500
SOUTH JORDAN, UT 84095
Pharmacy (Clinic Pharmacy)
1091 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT 84095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821286691, enumerated as an "organization" on October 05, 2007.

The provider is located at 1091 W SOUTH JORDAN PKWY SOUTH JORDAN, UT 84095 and the phone number is (801) 213-9850.

Pharmacy with taxonomy code 3336M0002X and a focus in Mail Order Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.