Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Revere Health PC

Organization Pharmacist · NPI 1922156884

Revere Health PC provides Pharmacist services in Provo, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1055 N 500 W
Provo, UT 84604-3305
Phone: (801) 418-0800
Fax: (801) 418-0801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X (UT)

Record details

NPI number1922156884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jed Harston — Director Of Managed Care · (801) 812-5012
Other names Revere Health
NPI enumeratedJanuary 8, 2007
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305

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