Badger Management LLC
NPI 1336996602 · Community/Retail Pharmacy · Mountain Green, UT
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Badger Management LLC is a Community/Retail Pharmacy organization in Mountain Green, UT (NPI 1336996602).
Provider details
- NPI number
- 1336996602
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Badger Management LLC
- Organization subpart
- Yes
- Authorized official
- Crystal Grimes, Director of Pharmacy(435) 774-4150
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Lee'S Marketplace- Mt. Green
- Doing business as
- Lee'S Marketplace-Mt. Green
Registry dates
- Enumerated
- 2024-05-03
- Last updated
- 2024-05-03
- Certified
- 2024-04-25
Frequently asked questions
- What is Badger Management LLC's NPI number?
- Badger Management LLC's National Provider Identifier (NPI) is 1336996602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Badger Management LLC?
- Badger Management LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Badger Management LLC located?
- Badger Management LLC's practice location on file with NPPES is 4935 Old Highway Rd, Mountain Green, UT 84050.
- What is Badger Management LLC's phone number?
- The practice phone number listed in the NPPES registry for Badger Management LLC is (435) 774-4150.
- Does Badger Management LLC accept Medicare?
- Badger Management LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Badger Management LLC?
- The authorized official listed on Badger Management LLC's NPPES record is Crystal Grimes, Director of Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Badger Management LLC's NPI active?
- Yes — Badger Management LLC's NPI (1336996602) is active in the NPPES registry as of the last update on 2024-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.