OrganizationActive
Medsource Rx Pharmacy LLC
NPI 1063736304 · Community/Retail Pharmacy · Sandy, UT
Medsource Rx Pharmacy LLC is a Community/Retail Pharmacy organization in Sandy, UT (NPI 1063736304).
Provider details
- NPI number
- 1063736304
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sahily Paoline, Pic(888) 702-2195
- License
- 7609917-1703 (UT)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9883 S 500 W
Sandy, UT 84070-2561
Phone: (801) 727-1979
Fax: (855) 332-9272
Approximate (ZIP-level) locationGet directions
Mailing address
9883 S 500 W
Sandy, UT 84070-2561
Other names (DBA / former)
- Doing business as
- Medsource Rx Pharmacy
Registry dates
- Enumerated
- 2010-03-16
- Last updated
- 2013-10-11
Frequently asked questions
- What is Medsource Rx Pharmacy LLC's NPI number?
- Medsource Rx Pharmacy LLC's National Provider Identifier (NPI) is 1063736304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medsource Rx Pharmacy LLC?
- Medsource Rx Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Medsource Rx Pharmacy LLC located?
- Medsource Rx Pharmacy LLC's practice location on file with NPPES is 9883 S 500 W, Sandy, UT 84070-2561.
- What is Medsource Rx Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Medsource Rx Pharmacy LLC is (801) 727-1979.
- Who is the authorized official for Medsource Rx Pharmacy LLC?
- The authorized official listed on Medsource Rx Pharmacy LLC's NPPES record is Sahily Paoline, Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medsource Rx Pharmacy LLC's NPI active?
- Yes — Medsource Rx Pharmacy LLC's NPI (1063736304) is active in the NPPES registry as of the last update on 2013-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.