INTERMOUNTAIN SEVIER VALLEY PHARMACY
NPI 1366871410
Pharmacy - Community/Retail Pharmacy in Richfield, UT
NPI Status: Active since November 08, 2013
Contact Information
1000 N MAIN ST
RICHFIELD, UT
ZIP 84701
Phone: (435) 893-0690
Fax: (435) 893-0695
- Organization
- Pharmacy
- Community/Retail Pharmacy
- Accepts Insurance
- CLIA Number: 46D1006989
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 12-04-2026
About INTERMOUNTAIN SEVIER VALLEY PHARMACY
This page provides the complete NPI Profile along with additional information for Intermountain Sevier Valley Pharmacy, a provider established in Richfield, Utah operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1366871410 assigned on November 2013. The practitioner's primary taxonomy code is 3336C0003X with license number 8822803-1703 (UT). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Intermountain Sevier Valley Pharmacy. The authorized official of this NPI record is Nannette Berensen (Vice President Of Clinical Systems)
- NPI
- 1366871410
- Provider Legal Name
- IHC HEALTH SERVICES INC
- Other Organization Name
- INTERMOUNTAIN SEVIER VALLEY PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1000 N MAIN ST RICHFIELD, UT 84701
- Location Phone
- (435) 893-0690
- Location Fax
- (435) 893-0695
- Mailing Address
- PO BOX 30013 SALT LAKE CITY, UT 84130
- Mailing Phone
- (435) 893-0690
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-08-2013
- Last Update Date
- 07-19-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- 8822803-1703
- License State
- UT
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Catastrophic - EPO
- Balance by Medica Catastrophic - PPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Share - PPO
- Balance by Medica Gold Standard - EPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - EPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Share - EPO
- Balance by Medica Silver Share - PPO
- Balance by Medica Silver Standard - EPO
- Balance by Medica Silver Standard - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1366871410 | MEDICAID (05) | UT | |
| =========023 | MEDICAID (05) | UT | |
| 2142794 | OTHER (01) | PK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D1006989
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- December 05, 2024
- Certificate Expiration Date
- December 04, 2026
- Laboratory Director
- LARRY CARLSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Intermountain Sevier Valley Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for INTERMOUNTAIN SEVIER VALLEY PHARMACY
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 8 | 7 | 1 | 4 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 16 | 7 | 2 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 6 + 7 + 2 + 4 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1366871410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437264223 | DR. ROGER D BLOMQUIST RADIOLOGIST Individual | Radiology (Diagnostic Radiology) | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1467554451 | DAVID M POPE MD Individual | Family Medicine | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1114029394 | N. ROD HINCK SPEECH PATHOLOGIST Individual | Speech-Language Pathologist | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-0540 |
| 1659476950 | REX K BELNAP CRNA Individual | Nurse Anesthetist, Certified Registered | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-0305 |
| 1912002536 | THOMAS J. TAVENNER CRNA Individual | Nurse Anesthetist, Certified Registered | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1659470417 | MARYELLEN BOYCE DIETITIAN Individual | Dietitian, Registered | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1780875765 | KRISTI LYNN JORGENSEN RN Individual | Registered Nurse | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1669625166 | MAXINE HISS RN Individual | Registered Nurse (Diabetes Educator) | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1487895462 | SEVIER VALLEY ANESTHESIA GROUP, LLP Organization | Nurse Anesthetist, Certified Registered | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1609110816 | IHC HEALTH SERVICES, INC. Organization | Pharmacy (Institutional Pharmacy) | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-0232 |
| 1477660389 | BRENT J ALLEN MD Individual | Surgery | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1548340714 | DAVID T TULLIS MD Individual | Family Medicine | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 896-8271 |
| 1326438664 | MRS. LISA TEII VELLINGA RN, BSN Individual | Registered Nurse (Diabetes Educator) | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-0640 |
| 1104069871 | DR. DEVONE NELSON BURTON M.D. Individual | Radiology (Diagnostic Radiology) | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1225349863 | DANIEL FRED GOOLD MD Individual | Radiology (Diagnostic Radiology) | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1578005674 | MR. DANIEL A JOSEPH RDN Individual | Dietitian, Registered | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1750341210 | CHARLES ALLEN CATON MD Individual | Emergency Medicine (Emergency Medical Services) | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1225051527 | DR. HOWARD L GARBER M.D. Individual | Emergency Medicine (Emergency Medical Services) | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1124427083 | ELOSIA FURBEE CRNA Individual | Nurse Anesthetist, Certified Registered | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-4100 |
| 1205307790 | ANNALISA BAILEY RD,CD Individual | Dietitian, Registered | 1000 N MAIN ST RICHFIELD, UT 84701 (435) 893-0569 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366871410, enumerated in the NPI registry as an "organization" on November 08, 2013
The provider is located at 1000 N Main St Richfield, Ut 84701 and the phone number is (435) 893-0690
This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 46D1006989 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 08, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.