INNOVATIVE RX LLC (NPI# 1225463169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225463169 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE RX LLC |
| Other Organization Name | INNOVATIVE RX LLC |
| Practice Address |
12176 S 1000 E Ste 2 Draper UT 84020-9734 |
| Practice Telephone | 8013555176 |
| Practice Fax Number | 8016067358 |
| Mailing Telephone | 8013555176 |
| Mailing Fax Number | 8016067358 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2016-12-08 |
| Authorized Official Name | ANGELEE DEAN (MANAGING MEMBER) |
| Authorized Official Telephone | 8013555176 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9762264-1703 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159935 | 01 |
| Other Name | Type Code |
|---|---|
| Innovative Rx LLC | Doing Business As Name - Organization |
| Street Address |
12176 S 1000 E STE 2 |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-9734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323697 | Gary Scott Call | Family Medicine | 12176 S 1000 E, Draper, UT 84020-9716 | 2005-08-22 |
| 1518503291 | Amy Covington | Dietitian, Registered | 12176 S 1000 E, Draper, UT 84020-9734 | 2019-11-18 |
| 1396236188 | East Ridge Rx LLC | Pharmacy | 12176 S 1000 E, Ste 2, Draper, UT 84020-9734 | 2018-05-29 |
| 1518402841 | Christopher Michael Williams | Nurse Practitioner | 12176 S 1000 E, Draper, UT 84020-9734 | 2016-12-22 |
| 1073909594 | Spencer J Hardenbrook Md PC | Family Medicine | 12176 S 1000 E, Draper, UT 84020-9734 | 2015-04-10 |
| 1497176911 | Mary-faith Fuller | Nurse Practitioner | 12176 S 1000 E, Ste G, Draper, UT 84020-9734 | 2013-12-31 |
| 1881952315 | Spencer James Hardenbrook | Family Medicine | 12176 S 1000 E, Draper, UT 84020-9734 | 2012-05-03 |
| 1780965426 | Joe Timmins Lcsw, Inc. | Community/Behavioral Health | 12176 S 1000 E, Suite C, Draper, UT 84020-9734 | 2011-09-08 |
| 1861773327 | Joseph F Kasper Md PC | Family Medicine | 12176 S 1000 E, Draper, UT 84020-9734 | 2011-08-29 |
| 1669666954 | Robb L Leishman D.c. Inc. | Chiropractor | 12176 S 1000 E, Draper, UT 84043 | 2007-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295037505 | Aspire Rx LLC | Pharmacy | 949 E 12400 S, A6, Draper, UT 84020-8200 | 2010-11-19 |
| 1386963593 | Macey's Inc | Pharmacy | 1212 E Draper Pkwy, Draper, UT 84020-9097 | 2010-05-27 |
| 1366748238 | Mount Olympus Compounding LLC | Pharmacy | 392 E 12300 S, Suite A, Draper, UT 84020-8181 | 2011-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1598371973 | Mountain West Medicine Inc. | Pharmacy | 1551 Renaissance Towne Dr Ste 104, Bountiful, UT 84010-7682 | 2020-09-21 |
| 1518577741 | Black Panda LLC | Pharmacy | 2507 S State St, Salt Lake City, UT 84115-3109 | 2020-08-03 |
| 1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
| 1023637675 | Santaquin Market, Inc. | Pharmacy | 110 N. 400 E., Santaquin, UT 84655 | 2020-04-14 |
| 1891345237 | Strive Pharmacy Utah 1 LLC | Pharmacy | 8928 S State St, Sandy, UT 84070-2246 | 2019-09-17 |
| 1336705755 | Bear Lake Community Health Center | Pharmacy | 517 W 100 N Ste 210, Providence, UT 84332-9826 | 2019-05-10 |
| 1912470246 | Ridley's Family Markets Inc | Pharmacy | 74 S 100 E, Tremonton, UT 84337-1606 | 2019-01-09 |
| 1437620762 | Pthl LLC | Pharmacy | 1890 Bonanza Dr Ste 107, Park City, UT 84060-7217 | 2018-12-16 |
| 1093285785 | Richfield Community Pharmacy LLC | Pharmacy | 440 S Main St Ste B, Richfield, UT 84701-2855 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.