Organization Active NPI

Santaquin Market, Inc.

  • Community/Retail Pharmacy
  • Santaquin, UT
National Provider Identifier
1023637675
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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 IDStateProvider typePAC IDDetails
O20200716002520 UT Part B Supplier - Mass Immunization (Roster Biller Only) 9830513332 Practice locations: Santaquin, UT

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.