Canyon Pharmaceutical, LLC
NPI 1346282951 · Community/Retail Pharmacy · Provo, UT
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canyon Pharmaceutical, LLC is a Community/Retail Pharmacy organization in Provo, UT (NPI 1346282951).
Provider details
- NPI number
- 1346282951
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ryan Johansen, Owner(801) 440-2995
- License
- 50843661703 (UT)
Specialties & taxonomies
Suppliers
Pharmacy Service Providers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- Rock Canyon Pharmacy
Registry dates
- Enumerated
- 2006-06-11
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Frequently asked questions
- What is Canyon Pharmaceutical, LLC's NPI number?
- Canyon Pharmaceutical, LLC's National Provider Identifier (NPI) is 1346282951, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Pharmaceutical, LLC?
- Canyon Pharmaceutical, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Canyon Pharmaceutical, LLC located?
- Canyon Pharmaceutical, LLC's practice location on file with NPPES is 3179 N Canyon Rd, Provo, UT 84604-3916.
- What is Canyon Pharmaceutical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Canyon Pharmaceutical, LLC is (801) 377-2002.
- Does Canyon Pharmaceutical, LLC accept Medicare?
- Canyon Pharmaceutical, 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 Canyon Pharmaceutical, LLC?
- The authorized official listed on Canyon Pharmaceutical, LLC's NPPES record is Ryan Johansen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Pharmaceutical, LLC's NPI active?
- Yes — Canyon Pharmaceutical, LLC's NPI (1346282951) is active in the NPPES registry as of the last update on 2022-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.