Mvp Pharmacy LLC
Mvp Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Bountiful, UT, holding Type 2 (organization) NPI 1679643753 since 2006. The authorized official on file is Jacob Horrocks, Owner/Pic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679643753 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mvp Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 425 MEDICAL DR, STE 100, Bountiful, UT, 84010 |
| Phone | 8012953439 |
| Fax | 8012991696 |
| Enumeration date | 2006-11-08 |
| Last updated in NPPES | 2022-12-23 |
Authorized official
| Name | Jacob Horrocks |
|---|---|
| Title | Owner/Pic |
| Phone | 8018081546 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | 9719138-1703 | UT |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679643753 | Medicaid | WY | — |
| 2159080 | Other | — | PK |
Copy-ready billing details
Provider: Mvp Pharmacy LLC NPI: 1679643753 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 425 MEDICAL DR, STE 100, Bountiful, UT, 84010
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1235127291 | Kevin Clark | Individual | Surgery Physician | Bountiful, UT |
| 1477543213 | Russell B Shields MD PC | Organization | Family Medicine Physician | Bountiful, UT |
| 1942259197 | Sports Medicine Specialists, LLC | Organization | Sports Medicine (Family Medicine) Physician | Bountiful, UT |
| 1508811092 | Allan Edson | Individual | Family Medicine Physician | Bountiful, UT |
| 1972605012 | Michael Maudsley | Individual | Physical Therapist | Bountiful, UT |
| 1548363617 | Harold Pergler | Individual | Audiologist-Hearing Aid Fitter | Bountiful, UT |
| 1235299561 | Rodney M. Jex Dpm | Organization | Foot & Ankle Surgery Podiatrist | Bountiful, UT |
| 1790844165 | Perry Walters | Individual | Urology Physician | Bountiful, UT |
Verify this record
Cross-check NPI 1679643753 against the authoritative CMS record: view Mvp Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Mvp Pharmacy LLC?
What is the NPI number for Mvp Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2022-12-23.