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

Revere Health PC

Organization Pharmacist · NPI 1922156884

Revere Health PC is a Pharmacist 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.

See every abbreviation used in this directory →

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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