Associated Fresh Markets Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

7442340-1703 Issued in UT

Legal business name

ASSOCIATED FRESH MARKETS INC

Practice address

1760 Park Ave
Park City, UT 84060-5125

Phone

(435) 649-6264

Fax

(435) 655-7176

NPI assigned

Sep 21, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shawna Hanson, PHARMD

Title

Director, Pharmacy Operations

Phone

(801) 978-8309

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Fresh Market Pharmacy #2365 Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Tax ID family

Associated Fresh Markets Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

• Associated Fresh Markets Inc

  • Pharmacy
  • Salt Lake City, UT
  • NPI 1043543754
  NPD tax ID
• Associated Fresh Markets Inc

  • Pharmacy
  • Salt Lake City, UT
  • NPI 1134452840
  NPD tax ID
• Associated Fresh Markets Inc

  • Pharmacy
  • Salt Lake City, UT
  • NPI 1225361934
  NPD tax ID
• Associated Fresh Markets Inc

  • Community/Retail Pharmacy
  • Layton, UT
  • NPI 1255664561
  NPD tax ID
• Associated Fresh Markets Inc

  • Pharmacy
  • Park City, UT
  • NPI 1417280678
  NPD tax ID
• Associated Fresh Markets Inc

  • Pharmacy
  • Provo, UT
  • NPI 1427381714
  NPD tax ID
• Associated Fresh Markets Inc

  • Community/Retail Pharmacy
  • Ogden, UT
  • NPI 1528391836
  NPD tax ID
• Associated Fresh Markets Inc

  • Community/Retail Pharmacy
  • American Fork, UT
  • NPI 1891028106
  NPD tax ID
• Associated Fresh Markets Inc

  • Community/Retail Pharmacy
  • South Ogden, UT
  • NPI 1982938239
  NPD tax ID

Locations (25 of 30)

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

• Associated Fresh Markets Inc

  • Pharmacy
  • Salt Lake City, UT
  • NPI 1043543754

  O20101203000620

  Same enrollment
• Associated Fresh Markets Inc

  • Pharmacy
  • Salt Lake City, UT
  • NPI 1134452840

  O20101203000620

  Same enrollment
• Associated Fresh Markets Inc

  • Pharmacy
  • Salt Lake City, UT
  • NPI 1225361934

  O20101203000620

  Same enrollment
• Associated Fresh Markets Inc

  • Community/Retail Pharmacy
  • Layton, UT
  • NPI 1255664561

  O20101203000620

  Same enrollment
• Associated Fresh Markets Inc

  • Pharmacy
  • Park City, UT
  • NPI 1417280678

  O20101203000620

  Same enrollment
• Associated Fresh Markets Inc

  • Pharmacy
  • Provo, UT
  • NPI 1427381714

  O20101203000620

  Same enrollment
• Associated Fresh Markets Inc

  • Pharmacy
  • Ogden, UT
  • NPI 1497088108

  O20101203000620

  Same enrollment
• Associated Fresh Markets Inc

  • Community/Retail Pharmacy
  • Ogden, UT
  • NPI 1528391836

  O20101203000620

  Same enrollment
• Associated Fresh Markets Inc

  • Community/Retail Pharmacy
  • American Fork, UT
  • NPI 1891028106

  O20101203000620

  Same enrollment
• Associated Fresh Markets Inc

  • Community/Retail Pharmacy
  • South Ogden, UT
  • NPI 1982938239

  O20101203000620

  Same enrollment
• Lin'S Supermarkets Inc

  • Community/Retail Pharmacy
  • Price, UT
  • NPI 1346573656

  O20101203000620

  Same enrollment
• Lin'S Supermarkets Inc

  • Pharmacy
  • Richfield, UT
  • NPI 1417280702

  O20101203000620

  Same enrollment

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

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1811221047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26908",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841260908",
            "telephone_number": "801-978-8225",
            "fax_number": "801-978-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 PARK AVE",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840605125",
            "telephone_number": "435-649-6264",
            "fax_number": "435-655-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED FRESH MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "DIRECTOR, PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "801-978-8309",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "7442340-1703",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811221047",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Market Pharmacy #2365",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fresh Market Pharmacy #2365",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Armstrong Solomon
• Amy Beth Arriola, PA-C, MPAS
• Heidi Christine Asbury-Wagner, DPT
• Madison Ashby
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• Rita Borgs Baden, LCSW
• Stacey Baganz, BCHN, MS

• All providers in Park City, UT
• Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.