Prime Therapeutics Pharmacy LLC
NPI 1356790364 · Mail Order Pharmacy · West Valley City, UT
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Therapeutics Pharmacy LLC is a Mail Order Pharmacy organization in West Valley City, UT (NPI 1356790364).
Provider details
- NPI number
- 1356790364
- Entity type
- Organization
- Primary specialty
- Mail Order PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Phi Tran, Pic(855) 271-4810
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Suppliers
Profile Score
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
Mailing address
Other names (DBA / former)
- Former legal business name
- Magellan Rx Pharmacy, LLC
Registry dates
- Enumerated
- 2016-06-09
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Frequently asked questions
- What is Prime Therapeutics Pharmacy LLC's NPI number?
- Prime Therapeutics Pharmacy LLC's National Provider Identifier (NPI) is 1356790364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Therapeutics Pharmacy LLC?
- Prime Therapeutics Pharmacy LLC is classified in the NPPES registry as Mail Order Pharmacy (Suppliers).
- Where is Prime Therapeutics Pharmacy LLC located?
- Prime Therapeutics Pharmacy LLC's practice location on file with NPPES is 2256 S 3600 W Ste a, West Valley City, UT 84119-1124.
- What is Prime Therapeutics Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Therapeutics Pharmacy LLC is (866) 554-2673.
- Does Prime Therapeutics Pharmacy LLC accept Medicare?
- Prime Therapeutics Pharmacy 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 Prime Therapeutics Pharmacy LLC?
- The authorized official listed on Prime Therapeutics Pharmacy LLC's NPPES record is Phi Tran, Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Therapeutics Pharmacy LLC's NPI active?
- Yes — Prime Therapeutics Pharmacy LLC's NPI (1356790364) is active in the NPPES registry as of the last update on 2024-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.