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HOLLADAY PHARMACEUTICAL LLC
NPI 1881915957
Pharmacy - Community/Retail Pharmacy in Orem, UT

Active since June 11, 2010
406 N STATE ST, OREM, UT 84057(801) 434-7670(801) 434-7669 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2026, May 23, 2023, May 17, 2023 and 1 more (4 updates tracked since 2018).

About Holladay Pharmaceutical Llc NPPES

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

HOLLADAY PHARMACEUTICAL LLC (NPI 1881915957), doing business as Orem Family Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Orem, Utah and active in the NPI registry since June 2010. The organization lists Penny Jo Gustafson, Manager, as its authorized official.

NPPES Registry Identity

NPI1881915957
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHOLLADAY PHARMACEUTICAL LLC
Location Address406 N STATE STOrem, UT 84057-3802
Mailing Address76 N 1100 EAmerican Fork, UT 84003-2952 · (801) 434-7670 · Fax (801) 434-7669
Phone(801) 434-7670
Fax(801) 434-7669
Organization SubpartNo
Authorized OfficialPenny Jo GustafsonManager · (801) 756-4021
Enumeration DateJune 11, 2010
Last NPPES UpdateMay 15, 20264 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1881915957 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 · 7686605-1703
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
406 N STATE ST, Orem, UT 84057
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Other Names 1

Doing Business AsOrem Family Pharmacy

Other Identifiers 2

Other2125523Pk
Medicaid1881915957UT

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holladay Pharmaceutical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateUtahEnrollment IDO20210311002537Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

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

CASEY ALLEN PHARMD, BCPS
Pharmacist (Pharmacotherapy)
406 N STATE ST
OREM, UT 84057
Utah County (801) 434-7670

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 Holladay Pharmaceutical LLC's NPI number?

The NPI number for Holladay Pharmaceutical LLC is 1881915957. It was assigned to this organization in the NPPES registry on June 11, 2010. The provider is doing business as Orem Family Pharmacy.

Where is Holladay Pharmaceutical LLC located?

Holladay Pharmaceutical LLC is located at 406 N State St, Orem, UT 84057. The listed phone number is (801) 434-7670.

What is Holladay Pharmaceutical LLC's specialty?

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

Is Holladay Pharmaceutical LLC enrolled in Medicare?

Yes. Holladay Pharmaceutical LLC is registered in the Medicare PECOS enrollment system.

When is Holladay Pharmaceutical LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Mass Immunization (Roster Biller Only)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Holladay Pharmaceutical LLC 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 43 other insurers list Holladay Pharmaceutical LLC 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 Holladay Pharmaceutical LLC was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.