Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fusion Specialty Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1508104712

Fusion Specialty Pharmacy Inc is a Community/Retail Pharmacy in Santa Clara, Utah. Licensed in Alaska, Colorado, Florida and Georgia and 11 more. Registered with an NPI since 2013.

Licensed in
AK, CO, FL, GA, HI, ID
In the registry since
2013
Specialties on file
15
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 Canyon View Dr Ste C
Santa Clara, UT 84765-5672
Phone: (435) 703-9680
Fax: (855) 853-3465
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 1260 (AK)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 2013016261 (MO)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PH02951 (NV)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 21457MS (ID)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 22-13015 (KS)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence OSP.0006181 (CO)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PHA-MOP-LIC-21763 (MT)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PMP-966 (HI)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence RP-0002986-CS (OR)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 033401 (NY)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PH000039111 (NM)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence NRP.022647900-03 (OH)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 28RO00142300 (NJ)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PH30592 (FL)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PHNR001096 (GA)

Record details

NPI number1508104712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koby Taylor — President · (435) 703-9680
Other names Fusion Specialty Pharmacy
NPI enumeratedJanuary 23, 2013
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025
Mailing address1100 Canyon View Dr, Ste C, Santa Clara, UT 84765-5671

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