IHC HEALTH SERVICES, INC. (NPI# 1457556243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457556243 |
Entity Type | Organization |
Organization Name | IHC HEALTH SERVICES, INC. |
Other Organization Name | IMC COMMUNITY PHARMACY |
Practice Address |
5121 S Cottonwood St Building 2 Murray UT 84107-5701 |
Mailing Address |
Po Box 30013 Salt Lake City UT 84130-0013 |
Practice Telephone | 8015073030 |
Practice Fax Number | 8015073019 |
Mailing Telephone | 8015073030 |
Enumeration Date | 2007-06-20 |
Last Update Date | 2018-07-19 |
Authorized Official Name | NANNETTE BERENSEN (VICE PRESIDENT OF CLINICAL SYSTEMS) |
Authorized Official Telephone | 8012841005 |
Is Organization Subpart | Y |
Parent Organization Name | IHC HEALTH SERVICES INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
65648181703 | UT | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 1457556243 | 05 | |
PK | 2100924 | 01 | |
WY | 1457556243 | 05 | |
ID | 807887900 | 05 | |
MT | 1457556243 | 05 |
Other Name | Type Code |
---|---|
IMC COMMUNITY PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164647707 | Ihc Health Services, Inc. | Clinic/Center | 359 8th Ave, Salt Lake City, UT 84103-2895 | 2007-04-17 |
1134274947 | Ihc Health Services, Inc. | Clinic/Center | 196 West 2000 North, Suite 112, Tooele, UT 84074-2736 | 2007-01-24 |
1083768071 | Ihc Health Services, Inc. | Clinic/Center | 74 W Vine Street, Murray, UT 84107 | 2007-01-23 |
1265549984 | Ihc Health Services, Inc. | Pharmacy | 98 N 1100 E Ste 101, American Fork, UT 84003-2940 | 2006-08-25 |
1326155037 | Ihc Health Services, Inc. | Pharmacy | 395 W 1230 N Ste 204, Provo, UT 84604-3328 | 2006-08-25 |
1699795831 | Ihc Health Services, Inc. | Clinic/Center | 325 8th Ave, Salt Lake City, UT 84143-0001 | 2006-07-20 |
1174540058 | Ihc Health Services, Inc. | Clinic/Center | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2006-07-16 |
1174540090 | Ihc Health Services, Inc. | Clinic/Center | 3903 Harrison Blvd, Ogden, UT 84403-2314 | 2006-07-16 |
1720029960 | Ihc Health Services, Inc. | Clinical Medical Laboratory | 5252 South, Intermountain Drive, Murray, UT 84107 | 2006-06-09 |
1609110816 | Ihc Health Services, Inc. | Pharmacy | 1000 N Main St, Richfield, UT 84701-1857 | 2012-11-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | IHC HEALTH SERVICES, INC. | 36 S State 22nd Floor, Salt Lake City, UT 84111 |
Vermont Business Registrations | IHC HEALTH SERVICES, INC. | 36 South State Street, 22nd Floor, Salt Lake City, UT 84111 |
Street Address |
5121 S COTTONWOOD ST BUILDING 2 |
City | MURRAY |
State | UT |
Zip Code | 84107-5701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609873595 | Sarah Dawn Majercik | Surgery | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2005-07-07 |
1093312183 | Cherysh Hubbard Stock | Obstetrics & Gynecology | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-02 |
1922605062 | Sydney Schuessler | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-01 |
1790398931 | Elayne Manuela Pereira | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-27 |
1205449436 | Jared Hunt | Physical Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-27 |
1386256428 | Sarah Emily Boyt | Dietitian, Registered | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-08-19 |
1972111417 | Megan Neiheiser | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-21 |
1114535515 | Cory Ray Briggle | Occupational Therapist | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-21 |
1528676509 | Melanie Nicole Emmerson | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-07-16 |
1205452844 | Kendall Snyder | Genetic Counselor, MS | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
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] |
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1073670352 | O J Pharmacy Inc | Pharmacy | 604 S 12th St, Murray, KY 42071-2916 | 2007-01-03 |
1235171687 | Pulmocair Respiratory, Inc | Pharmacy | 82 Spruce St, Suite 121, Murray, KY 42071-2150 | 2006-06-11 |
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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 |
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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.