FUSION MEDICAL LLC (NPI# 1083953509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083953509 |
| Entity Type | Organization |
| Organization Name | FUSION MEDICAL LLC |
| Practice Address |
510 S 600 E Salt Lake City UT 84102-2710 |
| Practice Telephone | 8013556868 |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |
| Authorized Official Name | DR. CODY WALKER (PHARMACIST) |
| Authorized Official Telephone | 8018987132 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Fusion Medical LLC | 10545 Skyreach Road, Highlands Ranch, CO 80126 |
| Street Address |
510 S 600 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619256187 | Rc Medical | Durable Medical Equipment & Medical Supplies | 510 S 600 E, Salt Lake City, UT 84102-2710 | 2011-08-15 |
| 1689959215 | Synergy Dme | Durable Medical Equipment & Medical Supplies | 510 S 600 E, Salt Lake City, UT 84102 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821432626 | Isomeric Pharmacy Solutions LLC | Pharmacy | 2401 S Foothill Dr Ste C, Salt Lake City, UT 84109-1479 | 2013-04-23 |
| 1023158342 | Glades Hyland Pharmacies | Pharmacy | 1295 Miller Ave, Suite 6, Salt Lake City, UT 84106-4394 | 2007-02-07 |
| 1225568694 | Meds In Motion Compounding, LLC | Pharmacy | 380 W Lawndale Dr, Salt Lake City, UT 84115-2915 | 2017-06-18 |
| 1497023675 | Reams Pharmacy Inc | Pharmacy | 2783 S State St, Salt Lake City, UT 84115-3634 | 2011-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051761 | Rexall Drug | Pharmacy | 3300 N Running Creek Way Ste 100, Lehi, UT 84043-5563 | 2019-12-27 |
| 1881119469 | Roe Rx Inc | Pharmacy | 5257 Adams Ave Pkwy, Washington Terrace, UT 84405-6748 | 2017-08-04 |
| 1538516588 | Cedar Drug and Gift, Inc | Pharmacy | 755 S Main St Ste 7, Cedar City, UT 84720-3653 | 2016-05-19 |
| 1821442856 | Gibson Pharmacy Services LLC | Pharmacy | 240 E Winchester St, Murray, UT 84107-7305 | 2016-04-15 |
| 1528464336 | West Gordon Pharmacy Inc | Pharmacy | 3225 W Gordon Ave Ste 2, Layton, UT 84041-5728 | 2014-11-06 |
| 1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
| 1588927792 | Olive Pharmacy | Pharmacy | 2290 S Redwood Rd, West Valley City, UT 84119-1322 | 2012-06-21 |
| 1700107604 | Precision Medical Pharmacy LLC | Pharmacy | 726 S 400 E, Orem, UT 84097-6322 | 2010-06-15 |
| 1255659470 | Meds for Vets | Pharmacy | 585 W 9400 S Ste 100, Sandy, UT 84070-2569 | 2010-05-12 |
| 1912237272 | Alpine Apothecary, LLC | Pharmacy | 1675 Redstone Center Dr Ste 125, Park City, UT 84098-7617 | 2010-01-10 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on FUSION MEDICAL LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.