ACCREDO HEALTH GROUP INC (NPI# 1902857501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902857501 |
| Entity Type | Organization |
| Organization Name | ACCREDO HEALTH GROUP INC |
| Other Organization Name | ACCREDO HEALTH GROUP INC |
| Practice Address |
3488 S Main St Salt Lake City UT 84115-4419 |
| Mailing Address |
Po Box 954041 Saint Louis MO 63195-0001 |
| Practice Telephone | 8018320222 |
| Practice Fax Number | 8018320333 |
| Mailing Telephone | 9013817141 |
| Mailing Fax Number | 9012616924 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | VIC PERINI (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 3146846273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 55435331704 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 000203800 | 05 | |
| PK | 2100126 | 01 | |
| ID | 000201500 | 05 | |
| OR | 268950 | 05 | |
| UT | 1902857501 | 05 |
| Other Name | Type Code |
|---|---|
| ACCREDO HEALTH GROUP INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639375066 | Accredo Health Group Inc | Durable Medical Equipment & Medical Supplies | 2825 W Perimeter Rd Ste 112, Indianapolis, IN 46241-3614 | 2007-06-22 |
| 1538281837 | Accredo Health Group Inc | Pharmacy | 2 Boulden Circle, Ste 1, New Castle, DE 19720-3492 | 2007-04-06 |
| 1043309735 | Accredo Health Group Inc | Durable Medical Equipment & Medical Supplies | 6272 Lee Vista Blvd, Suite 100, Orlando, FL 32822-5148 | 2006-10-12 |
| 1548282510 | Accredo Health Group Inc | Pharmacy | 45 Route 46 East, Suite 609, Pine Brook, NJ 07058-9390 | 2006-07-25 |
| 1346297983 | Accredo Health Group Inc | Durable Medical Equipment & Medical Supplies | 4901 W Reno, Ste 950, Oklahoma City, OK 73127-6346 | 2006-05-28 |
| 1710933007 | Accredo Health Group Inc | Pharmacy | 39625 Lewis Dr, Ste 800, Novi, MI 48377-2972 | 2006-05-26 |
| 1982650297 | Accredo Health Group Inc | Durable Medical Equipment & Medical Supplies | 19060 Q St Ste 101, Omaha, NE 68135-1504 | 2006-05-26 |
| 1275589830 | Accredo Health Group Inc | Pharmacy | 22623 68th Ave S, Kent, WA 98032-1981 | 2006-05-25 |
| 1114973716 | Accredo Health Group Inc | Pharmacy | 520 Elmwood Park Blvd Ste 100, New Orleans, LA 70123-6826 | 2006-05-25 |
| 1902851157 | Accredo Health Group Inc | Durable Medical Equipment & Medical Supplies | 1335 E Sunset Rd, Ste J, Las Vegas, NV 89119-4928 | 2006-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | ACCREDO HEALTH GROUP INC. | 1640 Century Center Pkwy Ste 105, Memphis, Tennessee 38134-8822 |
| Street Address |
3488 S MAIN ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225386329 | Atif Ali | Pharmacist | 3488 S Main St, Salt Lake City, UT 84115-4419 | 2012-08-21 |
| 1447508551 | Fred Sun | Pharmacist | 3488 S Main St, Salt Lake City, UT 84115-4419 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1174928949 | Mmcp | Pharmacy | 6225 S Highland Dr, Salt Lake City, UT 84121-2125 | 2014-10-23 |
| 1164778510 | Meds In Motion | Pharmacy | 3798 S 700 E Ste 7, Salt Lake City, UT 84106-1150 | 2012-08-02 |
| 1013217736 | Acupharm LLC | Pharmacy | 990 W Atherton Dr # 200, Salt Lake City, UT 84123-3465 | 2010-10-28 |
| 1194048918 | Vrx Pharmacy LLC | Pharmacy | 50 E South Temple Ste 145, Salt Lake City, UT 84111-1020 | 2010-03-08 |
| 1164695318 | University of Utah Pharmacies | Pharmacy | 127 S. 500 E., Suite 160, Salt Lake City, UT 84102-2091 | 2008-04-09 |
| 1083763999 | Veridicusrx, LLC | Pharmacy | 1260 Vine St, Suite 200, Salt Lake City, UT 84121-1700 | 2007-01-09 |
| 1104987312 | Depot Drug | Pharmacy | 1040 N 2200 W Ste 200, Salt Lake City, UT 84116-2929 | 2006-12-12 |
| 1659445187 | Jolley Comp and Specialty Pham | Pharmacy | 1702 S 1100 E, Salt Lake City, UT 84105-3424 | 2006-11-17 |
| 1932298528 | University of Utah | Pharmacy | 555 S Foothill Blvd, Suite 396, Salt Lake City, UT 84112-1106 | 2006-10-12 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
Please comment or provide details below to improve the information on ACCREDO HEALTH GROUP INC.
| 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.