NPI 1902857501 · live from the CMS NPI Registry
Accredo Health Group INC
Pharmacy in Salt Lake City, UT. National Provider Identifier 1902857501, active.
NPI record
| NPI | 1902857501 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 3488 S Main St, Salt Lake City, UT 84115 |
| Practice phone | 801-832-0222 |
| Mailing address | Po Box 954041, Saint Louis, MO 63195 |
| Enumerated | May 15, 2006 |
| Last updated | May 6, 2026 |
| Authorized official | Victor Perini, Assistant Secretary |
| Other names | Accredo Health Group INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | — |
| Pharmacy primary | 333600000X | 55435331704 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.