LOGAN CLINIC PHARMACY – NPI #1053575175
Pharmacy

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.

LOGAN CLINIC PHARMACY is a pharmacy located in LOGAN, UT. NPPES has assigned the NPI number 1053575175 to LOGAN CLINIC PHARMACY on July 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LOGAN CLINIC PHARMACY” is a dba name, the actual legal business name for this organization is IHC HEALTH SERVICES INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 8 years ago on Jul 19, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOGAN CLINIC PHARMACY below.

NPI Profile for
IHC HEALTH SERVICES INC

NPI Number
1053575175
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IHC HEALTH SERVICES INC
Doing Business As (dba): LOGAN CLINIC PHARMACY
Primary location
412 N 200 E
LOGAN, UT 84321-4038
Phone: (435) 713-2770 Fax: (435) 713-2787
Mailing address
PO BOX 30013
SALT LAKE CITY, UT 84130-0013
Phone: (435) 713-2770 Fax:
Organization Subpart
Yes - LOGAN CLINIC PHARMACY is subpart of another organization.
Authorized Official
NANNETTE BERENSEN
VICE PRESIDENT OF CLINICAL SYSTEMS
Phone: (801) 284-1005
Updated
Identifiers

Identifiers for LOGAN CLINIC PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2100988
MEDICAIDID1053575175
MEDICAIDUT1053575175
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
UT 70157141703
3336C0004X
- Pharmacy / Compounding Pharmacy
333600000X
- Pharmacy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.