OrganizationActive
Prime Therapeutics Pharmacy LLC
NPI 1609221647 · Mail Order Pharmacy · West Valley City, UT
Prime Therapeutics Pharmacy LLC is a Mail Order Pharmacy organization in West Valley City, UT (NPI 1609221647).
Provider details
- NPI number
- 1609221647
- Entity type
- Organization
- Primary specialty
- Mail Order PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Andrew Glover, Vp Pharmacy Operations(612) 777-4940
- License
- 9771246-1703 (UT)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(72/100 index)
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
2256 S 3600 W Ste a
West Valley City, UT 84119-1124
Phone: (855) 271-4810
Fax: (888) 656-7762
Street-level locationGet directions
Mailing address
2256 S 3600 W Ste a
Salt Lake City, UT 84119-1124
Other names (DBA / former)
- Former legal business name
- Magellan Rx Pharmacy, LLC
Registry dates
- Enumerated
- 2016-04-27
- 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 1609221647, 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 (855) 271-4810.
- Who is the authorized official for Prime Therapeutics Pharmacy LLC?
- The authorized official listed on Prime Therapeutics Pharmacy LLC's NPPES record is Andrew Glover, Vp Pharmacy Operations. 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 (1609221647) 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.