OrganizationActive
Crystal Health Solutions Michigan LLC
NPI 1396600342 · Mail Order Pharmacy · North Salt Lake, UT
Provider details
- NPI number
- 1396600342
- Entity type
- Organization
- Primary specialty
- Mail Order PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jacob Moench, Chief Executive Officer(385) 368-6377
Specialties & taxonomies
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
160 Cutler Dr Ste 300
North Salt Lake, UT 84054-2967
Phone: (801) 854-7347
Street-level locationGet directions
Mailing address
721 N Main St Ste 220
Layton, UT 84041-2231
Registry dates
- Enumerated
- 2025-12-22
- Last updated
- 2025-12-22
- Certified
- 2025-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.