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ACCREDO HEALTH GROUP INC
NPI 1902857501
Pharmacy in Salt Lake City, UT

Active since May 16, 2006
3488 S MAIN ST, SALT LAKE CITY, UT 84115(801) 832-0222(801) 832-0333 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2026, Dec 5, 2025, Oct 7, 2019 and 1 more (4 updates tracked since 2018).

About Accredo Health Group Inc NPPES

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

ACCREDO HEALTH GROUP INC (NPI 1902857501) is a healthcare organization registered as a pharmacy in Salt Lake City, Utah and active in the NPI registry since May 2006. The organization lists Victor Joseph Perini, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1902857501
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameACCREDO HEALTH GROUP INC
Location Address3488 S MAIN STSalt Lake City, UT 84115-4419
Mailing AddressPo Box 954041Saint Louis, MO 63195-0001 · (901) 381-7141 · Fax (901) 261-6924
Phone(801) 832-0222
Fax(801) 832-0333
Organization SubpartNo
Authorized OfficialVictor Joseph PeriniAssistant Secretary · (314) 847-0146
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 6, 20264 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1902857501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in UT · 55435331704
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
3488 S MAIN ST, Salt Lake City, UT 84115
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Other Names 1

Doing Business AsAccredo Health Group Inc

Other Identifiers 5

Medicaid000203800ID
Medicaid1902857501UT
Medicaid000201500ID
Medicaid268950OR
Other2100126Pk

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Accredo Health Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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 IDO20081003000665Non-DME Part B · PharmacyDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Accredo Health Group Inc carries, from the Medicare DMEPOS supplier directory.

Accredo Health Group Inc

DMEPOS supplier · Salt Lake City, UT
✔

Accepts Medicare assignment

Accredo Health Group Inc 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)20547287
Medicare Participant SinceDecember 24, 2009
Supplier Location3488 S Main StSalt Lake City, UT 84115
Phone(801) 832-0222
Supplier Specialties
Pharmacy

Medicare Product Categories

External Infusion Pumps and/or Supplies
An infusion pump is necessary to safely administer the drug
Parenteral Nutrients
Parenteral nutrient solutions
Parenteral Equipment and/or Supplies
Parenteral infusion pumps, parenteral nutrition supply kits
Nebulizer Equipment and/or Supplies
Nebulizers, Atomizers, Filters
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.

ATIF ALI
Pharmacist
3488 S MAIN ST
SALT LAKE CITY, UT 84115
Salt Lake County (801) 832-0222
ACCREDO HEALTH GROUP INC
Pharmacy
3488 S MAIN ST
SALT LAKE CITY, UT 84115
Salt Lake County (801) 832-0222

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 Accredo Health Group Inc's NPI number?

The NPI number for Accredo Health Group Inc is 1902857501. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Accredo Health Group Inc located?

Accredo Health Group Inc is located at 3488 S Main St, Salt Lake City, UT 84115. The listed phone number is (801) 832-0222.

What is Accredo Health Group Inc's specialty?

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

Is Accredo Health Group Inc enrolled in Medicare?

Yes. Accredo Health Group Inc is registered in the Medicare PECOS enrollment system.

When is Accredo Health Group Inc'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, Pharmacy) is due for revalidation by November 30, 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.

Does Accredo Health Group Inc accept Medicare assignment for medical equipment?

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

What insurance does Accredo Health Group 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 Accredo Health Group 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 Accredo Health Group Inc was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.