Wasatch Homeless Health Care, Inc.

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

WASATCH HOMELESS HEALTH CARE, INC.

Doing business as

4th Street Clinic
4th Street Pharmacy

Practice address

409 West 400 South
Salt Lake, UT 84101

Phone

(385) 234-5708

Fax

(801) 433-0153

NPI assigned

Aug 6, 2019

Organization subpart

No

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

Authorized official

Name

Janida Emerson, CEO

Title

Chief Executive Officer

Phone

(801) 364-0058

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• 4th Street Clinic Doing business as
• 4th Street Pharmacy Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1043865074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 WEST 400 SOUTH",
            "city": "SALT LAKE",
            "state": "UT",
            "postal_code": "84101",
            "telephone_number": "385-234-5708",
            "fax_number": "801-433-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WEST 400 SOUTH",
            "city": "SALT LAKE",
            "state": "UT",
            "postal_code": "84101",
            "telephone_number": "385-234-5708",
            "fax_number": "801-433-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH HOMELESS HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "JANIDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "801-364-0058",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528128899",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epic",
            "affiliation": "Y",
            "endpointDescription": "Electronic Health Record",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "In house inter-professional communication",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Health Record",
            "address_1": "409 West 400 South",
            "city": "Salt Lake",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "4th Street Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "4th Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nidia M Romero
• Melissa Scheid
• Isaiah M Shipp
• Averi Stover
• Abigail Valenzuela-Dominguez
• Wasatch Homeless Health Care, Inc. (Fourth Street Pharmacy)
• Jennifer D Wood, MS, CCC-SLP
• Woseth Dermatology, P.C. (Leonard J.Swinyer, M.D., P.C.)
• Douglas Marr Woseth, M.D.
• Charlee Yates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.