OrganizationActive
Select Pharmacy LLC
NPI 1154795854 · Long Term Care Pharmacy · Midvale, UT
Provider details
- NPI number
- 1154795854
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Roy Payne, President(801) 759-8981
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
628 W 7250 S
Midvale, UT 84047-1060
Phone: (801) 849-1595
Fax: (801) 895-7450
Street-level locationGet directions
Mailing address
628 W 7250 S
Midvale, UT 84047-1060
Other names (DBA / former)
- Doing business as
- Select Pharmacy
Registry dates
- Enumerated
- 2015-11-18
- Last updated
- 2017-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.