Revere Health PC
NPI 1922156884 · Pharmacist · Provo, UT
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revere Health PC is a Pharmacist organization in Provo, UT (NPI 1922156884).
Provider details
- NPI number
- 1922156884
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Jed Harston, Director of Managed Care(801) 812-5012
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- Revere Health
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Frequently asked questions
- What is Revere Health PC's NPI number?
- Revere Health PC's National Provider Identifier (NPI) is 1922156884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revere Health PC?
- Revere Health PC is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Revere Health PC located?
- Revere Health PC's practice location on file with NPPES is 1055 N 500 W, Provo, UT 84604-3305.
- What is Revere Health PC's phone number?
- The practice phone number listed in the NPPES registry for Revere Health PC is (801) 418-0800.
- Does Revere Health PC accept Medicare?
- Revere Health PC 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 Revere Health PC?
- The authorized official listed on Revere Health PC's NPPES record is Jed Harston, Director of Managed Care. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revere Health PC's NPI active?
- Yes — Revere Health PC's NPI (1922156884) is active in the NPPES registry as of the last update on 2025-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.