DEANS LONG TERM CARE PHARMACY LLC – Long Term Care Pharmacy, NPI 1053481655
Long Term Care Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DEANS LONG TERM CARE PHARMACY LLC
Salt Lake City Post Office, 1760, 2100 South, Salt Lake City, Salt Lake County, Utah, 84199, United States
SALT LAKE CITY, UT 841099830
Phone: (256) 927-5574
Fax: (256) 927-5576
Type: Mailing
697, Cedar Bluff Road, Centre, Cherokee County, Alabama, 35960, United States
CENTRE, AL 359601631
Phone: (256) 927-5574
Fax: (256) 927-5576
Type: Location
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: 2008-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| O20080205000120 | O | Mass Immunization (Roster Biller Only) | AL | 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 | 55 | 55 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 25 | 50 | $0 |
Insurance plans in this area (ZIP 84109)
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