Active NPI
Bryce D Sanders, PHARM D.
- Pharmacist
- Midvale, UT
National Provider Identifier
1003828666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3656321701
- Practice address
- 7495 S State St
Midvale, UT 84047-2013 - Phone
- (801) 213-9540
- Fax
- (801) 213-9553
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3656321701 | UT | Primary |
Addresses
Primary practice location
7495 S State St
Midvale, UT 84047-2013
Mailing address
6697 Canterbury Dr
Highland, UT 84003-9330
Phone (801) 766-3860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3656321701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003828666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6697 CANTERBURY DR",
"city": "HIGHLAND",
"state": "UT",
"postal_code": "840039330",
"telephone_number": "801-766-3860",
"fax_number": "801-213-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7495 S STATE ST",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840472013",
"telephone_number": "801-213-9540",
"fax_number": "801-213-9553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "BRYCE",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "3656321701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.