Individual provider Active NPI

Rima Mat

  • Pharmacist
  • Sandy, UT
National Provider Identifier
1013348531
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5573440-1701 Issued in UT
Practice address
8068 S Twelve Pines Dr
Sandy, UT 84094-7209
Phone
(801) 671-2657
NPI assigned
Dec 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5573440-1701 UT Primary

Addresses

Primary practice location

8068 S Twelve Pines Dr
Sandy, UT 84094-7209

Mailing address

8068 S Twelve Pines Dr
Sandy, UT 84094-7209
Phone (801) 671-2657

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

State licenses

LicenseStateTypeSpecialty
5573440-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1013348531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8068 S TWELVE PINES DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840947209",
            "telephone_number": "801-671-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8068 S TWELVE PINES DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840947209",
            "telephone_number": "801-671-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAT",
        "first_name": "RIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "5573440-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.