APOTHECARY SHOPPE, INC – Pharmacy, NPI 1003898545
Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for APOTHECARY SHOPPE, INC
Salt Lake Regional Medical Center, 82, 1100 East, East Central, Salt Lake City, Salt Lake County, Utah, 84102, United States
SUITE 104
SALT LAKE CITY, UT 841021686
Phone: (801) 521-6353
Fax: (801) 521-6390
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110106001270 | O | Mass Immunization (Roster Biller Only) | UT | TBD |
| O20211025002035 | O | Pharmacy | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 173 | 173 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 160 | 160 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 74 | 74 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 74 | 74 | $0 |
| 91313 | Sarscov2 vac bvl 50mcg/0.5ml | 20 | 19 | $0 |
Insurance plans in this area (ZIP 84102)
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