Active NPI
Santaquin Market, Inc.
- Community/Retail Pharmacy
- Santaquin, UT
National Provider Identifier
1023637675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SANTAQUIN MARKET, INC.
- Practice address
- 110 N. 400 E.
Santaquin, UT 84655 - Phone
- (801) 465-2343
- NPI assigned
- Apr 14, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Harold Measom, PHARM.D.
- Title
- Manager
- Phone
- (801) 465-2343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200716002520 | UT | Part B Supplier - Mass Immunization (Roster Biller Only) | 9830513332 | Practice locations: Santaquin, UT |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
110 N. 400 E.
Santaquin, UT 84655
Mailing address
586 N Main St
Payson, UT 84651-3428
Phone (801) 465-2343
Other names 1
NPPES NPI Registry- MACEYS SANTAQUIN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2020.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586908800000",
"number": "1023637675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 N MAIN ST",
"city": "PAYSON",
"state": "UT",
"postal_code": "846513428",
"telephone_number": "801-465-2343",
"fax_number": "801-465-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N. 400 E.",
"city": "SANTAQUIN",
"state": "UT",
"postal_code": "84655",
"telephone_number": "801-465-2343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTAQUIN MARKET, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-14",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A",
"authorized_official_last_name": "MEASOM",
"authorized_official_first_name": "HAROLD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "801-465-2343",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MACEYS SANTAQUIN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santaquin, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.