Harmon City Inc

Organization Active NPI Community/Retail Pharmacy · Salt Lake City, UT

NPI 1306115274 · NPPES record last updated May 31, 2024

Key facts

NPI
1306115274
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
8152983-1703 (UT)
Legal business name
HARMON CITY INC
Practice address
135 E 100 S
Salt Lake City, UT 84111-6500
Phone
(801) 428-0399
Fax
(801) 428-0390
NPI assigned
Dec 22, 2011
Organization subpart
No

Authorized official

Name
Gregory Jones
Title
Director of Pharmacy
Phone
(801) 957-8454

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2036026Harmons Pharmacy City Creek #24
135 E 100 S, Salt Lake City, UT 84111
Certificate of waiverJan 29, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Harmons Pharmacy #24
135 E 100 S, Salt Lake City, UT 84111-6500 · (801) 428-0399
Immunosuppressive Drugs|Nebulizer Drugs Accepts assignment
Participating since Apr 29, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040219000320 UT Part B Supplier - Mass Immunization (Roster Biller Only) 6800781717 18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salt Lake City, UT; Santa Clara, UT; South Jordan, UT; St George, UT; Taylorsville, UT; West Valley City, UT; Lehi, UT; Riverton, UT…
O20140821000490 UT DME Supplier - Pharmacy 6800781717 Practice locations: Salt Lake City, UT

National Provider Directory

Tax ID family
Harmon City Inc (19 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 8152983-1703 UT Yes
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

135 E 100 S
Salt Lake City, UT 84111-6500

Mailing address

3540 S 4000 W
Ste #430
Salt Lake City, UT 84120-3260
Phone (801) 902-8512

Other identifiers

IdentifierTypeStateIssuer
1306115274MedicaidUT
2133078OtherPK

Other names

  • HARMONS PHARMACY Doing business as

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Community/Retail Pharmacy in Utah

Sources for this page

Verify at the official NPI Registry.