OrganizationActive
Pharmacy Services LLC
NPI 1093803215 · Long Term Care Pharmacy · Salt Lake City, UT
Provider details
- NPI number
- 1093803215
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Bryan Nichols, Owner(801) 302-8555
- License
- 8184721-1704 (UT)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2235 S 1300 W Ste D
Salt Lake City, UT 84119-7242
Phone: (801) 302-8555
Fax: (801) 302-8600
Street-level locationGet directions
Mailing address
Po Box 26667
Salt Lake City, UT 84126-0667
Other names (DBA / former)
- Doing business as
- Five Star Specialty Pharmacy
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2014-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.