Intermountain Specialty Pharmacy – Mail Order Pharmacy, NPI 1508119918

Intermountain Specialty Pharmacy is a healthcare provider. based in Salt lake city, Utah. specializing in Mail Order Pharmacy. The organization holds a License No. 8858671-1703 (UT). The NPI Number for Intermountain Specialty Pharmacy is 1508119918

Main info

Organization
Name
Intermountain Specialty Pharmacy
NPI
1508119918
Phone
(855) 779-3960
Address
PO BOX 30013
Authorized Official
NANNETTE MIGNON BERENSEN CHIEF OPERATING OFFICER
Enumeration Date
23 October 2012
Last Update Date
29 May 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness80
Years active:13State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Intermountain Specialty Pharmacy

  • PO BOX 30013

    SALT LAKE CITY, UT 841300013

    Phone: (855) 779-3960

    Type: Mailing

  • 7268 S BINGHAM JUNCTION BLVD

    MIDVALE, UT 840474860

    Phone: (855) 779-3960

    Fax: (801) 442-4179

    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.

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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

How is Intermountain Specialty Pharmacy identified in CMS data?
CMS-hosted NPPES data lists Intermountain Specialty Pharmacy with NPI 1508119918.
Is Intermountain Specialty Pharmacy listed as active for patients and plans?
The listing shows Intermountain Specialty Pharmacy as active in the NPI system.
What is Intermountain Specialty Pharmacy best known for clinically?
Directory data describes Intermountain Specialty Pharmacy with Mail Order Pharmacy. Clinical services aligned with this taxonomy classification.
Does Intermountain Specialty Pharmacy list a practice location?
Patients near Salt Lake City, Utah may find Intermountain Specialty Pharmacy in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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