OrganizationActive
Black Panda LLC
NPI 1518577741 · Pharmacy · Salt Lake City, UT
Black Panda LLC is a Pharmacy organization in Salt Lake City, UT (NPI 1518577741).
Provider details
- NPI number
- 1518577741
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Barbara Deinet, Managing Member(702) 219-6173
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2507 S State St
Salt Lake City, UT 84115-3109
Phone: (855) 558-2382
Street-level locationGet directions
Mailing address
6280 S Valley View Blvd Ste 734
Las Vegas, NV 89118-6833
Other names (DBA / former)
- Doing business as
- Aeva Specialty Pharmacy
Registry dates
- Enumerated
- 2020-08-03
- Last updated
- 2020-08-03
- Certified
- 2020-08-03
Frequently asked questions
- What is Black Panda LLC's NPI number?
- Black Panda LLC's National Provider Identifier (NPI) is 1518577741, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Panda LLC?
- Black Panda LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Black Panda LLC located?
- Black Panda LLC's practice location on file with NPPES is 2507 S State St, Salt Lake City, UT 84115-3109.
- What is Black Panda LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Panda LLC is (855) 558-2382.
- Who is the authorized official for Black Panda LLC?
- The authorized official listed on Black Panda LLC's NPPES record is Barbara Deinet, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Panda LLC's NPI active?
- Yes — Black Panda LLC's NPI (1518577741) is active in the NPPES registry as of the last update on 2020-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.