Acupharm LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

107642931704 Issued in UT

Legal business name

ACUPHARM LLC

Doing business as

AcuPharm, LLC

Practice address

990 W Atherton Dr # 200
Salt Lake City, UT 84123-3465

Phone

(801) 456-4505

Fax

(801) 456-4508

NPI assigned

Oct 28, 2010

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Demass, BSPHARM

Title

Pharmacist

Phone

(801) 456-4505

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• AcuPharm, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1013217736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 W ATHERTON DR # 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841233465",
            "telephone_number": "801-456-4505",
            "fax_number": "801-456-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 W ATHERTON DR # 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841233465",
            "telephone_number": "801-456-4505",
            "fax_number": "801-456-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPHARM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "DEMASS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "801-456-4505",
        "authorized_official_credential": "BSPHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "UT",
            "license": "107642931704",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AcuPharm, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.