L T DEE PHARMACY – Community/Retail Pharmacy, NPI 1417064122

L T DEE PHARMACY is a healthcare provider. based in Salt lake city, Utah. specializing in Community/Retail Pharmacy. The organization holds a License No. 50543371703 (UT). The NPI Number for L T DEE PHARMACY is 1417064122

Main info

Organization
Name
L T DEE PHARMACY
NPI
1417064122
Phone
(801) 387-7500
Address
PO BOX 30013
Authorized Official
NANNETTE BERENSEN VICE PRESIDENT OF CLINICAL SYSTEMS
Enumeration Date
25 August 2006
Last Update Date
19 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness90
Years active:19State licenses:1Digital endpoints

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Provider Addresses for L T DEE PHARMACY

  • PO BOX 30013

    SALT LAKE CITY, UT 841300013

    Phone: (801) 387-7500

    Type: Mailing

  • McKay-Dee Hospital, 4401, Harrison Boulevard, Ogden, Weber County, Utah, 84403, United States

    OGDEN, UT 844033195

    Phone: (801) 387-7500

    Fax: (801) 387-7505

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84130)

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Reviews

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Frequently asked questions

Does L T DEE PHARMACY share an NPI with anyone else?
NPI numbers are unique to each provider or organization — L T DEE PHARMACY uses 1417064122.
Does the file indicate L T DEE PHARMACY is practicing under active NPI?
Directory data currently reports L T DEE PHARMACY as active.
What healthcare role does L T DEE PHARMACY hold?
Scheduling teams often label L T DEE PHARMACY under Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Where is L T DEE PHARMACY based?
L T DEE PHARMACY is tied to Salt Lake City, Utah in the data we show; additional addresses may exist on the full record.
Is the information about L T DEE PHARMACY up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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