Apothecary Shoppe, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

6895933-1703 Issued in UT

Legal business name

APOTHECARY SHOPPE, INC

Practice address

82 S 1100 E
Suite 104
Salt Lake City, UT 84102-1686

Phone

(801) 521-6353

Fax

(801) 521-6390

NPI assigned

Nov 18, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin Lee Demass, R.PH.NPI 1528220589

Title

Owner

Phone

(801) 521-6353

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Demass, RPH

  • Pharmacist
  • Salt Lake City, UT
  • NPI 1528220589
  NPD Authorized official
• Trevor Lee Demass, PHARMD

  • Pharmacist
  • Salt Lake City, UT
  • NPI 1720718562
  NPD (past)
• Tiffany Rainwater, R.PH.

  • Pharmacist
  • Salt Lake City, UT
  • NPI 1255268397
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1003898545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 S 1100 E",
            "address_2": "SUITE 104",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021686",
            "telephone_number": "801-521-6353",
            "fax_number": "801-521-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S 1100 E",
            "address_2": "SUITE 104",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021686",
            "telephone_number": "801-521-6353",
            "fax_number": "801-521-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARY SHOPPE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "DEMASS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-521-6353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "6895933-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Roselani Apo, CSAC
• Kathleen Eve Apodaca, MS
• Yurytzy Apolinar
• Apollo Counseling and Behavioral Therapy
• Anthony Eugene Apollo, MD
• Arielle App, SSW
• Applaud Autism Services Ut LLC
• Carla Lucile Applegate-Anderson
• Sharon Elizabeth Applegate
• Alyssa Appleman

• Pharmacy in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.