Organization Active NPI

Intrafilrx LLC

  • Compounding Pharmacy
  • Salt Lake City, UT
National Provider Identifier
1841687126
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
9451461-1704 Issued in UT
Legal business name
INTRAFILRX LLC
Practice address
3920 S 1100 E Ste 140
Salt Lake City, UT 84124-1270
Phone
(801) 590-8345
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Janis McChesney
Title
Office Manager
Phone
(801) 815-8019

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X
Compounding Pharmacy 3336C0004X 9451461-1704 UT Primary

Addresses

Primary practice location

3920 S 1100 E Ste 140
Salt Lake City, UT 84124-1270

Mailing address

3920 S 1100 E Ste 140
Salt Lake City, UT 84124-1270
Phone (801) 815-8013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180727001906 UT Part B Supplier - Pharmacy 2264789825 Practice locations: Salt Lake City, UT
O20240123002877 ID Part B Supplier - Pharmacy 2264789825 Practice locations: Post Falls, ID

National Provider Directory

National Provider Directory

Locations

3920 S 1100 E
Ste 225
Salt Lake City, UT 84124

3920 S 1100 E
Ste 120
Salt Lake City, UT 84124
Phone (801) 815-8019

3920 S 1100 E
Ste 210
Salt Lake Cty, UT 84124
Phone (801) 262-6493

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1841687126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 S 1100 E STE 140",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241270",
            "telephone_number": "801-815-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 S 1100 E STE 140",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241270",
            "telephone_number": "801-590-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRAFILRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MCCHESNEY",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-815-8019"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "UT",
            "license": "9451461-1704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.