Individual provider Active NPI

Jacob Murrill

  • Pharmacist
  • Farmington, UT
National Provider Identifier
1043869779
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
353942-1701 Issued in UT
Practice address
165 N University Ave RM 102
Farmington, UT 84025-2990
Phone
(801) 213-6310
NPI assigned
Sep 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 353942-1701 UT Primary

Addresses

Primary practice location

165 N University Ave RM 102
Farmington, UT 84025-2990

Mailing address

1247 E Bridle Trail Rd
Draper, UT 84020-8523

Other practice location 1

1280 E. Stringham Ave ste 101
Salt Lake City, UT 84106
Phone (801) 213-1900

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
353942-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah PastSince Sep 8, 2019 Accepting new patients
University of Utah PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1043869779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 E BRIDLE TRAIL RD",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N UNIVERSITY AVE RM 102",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252990",
            "telephone_number": "801-213-6310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 E. Stringham Ave ste 101",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84106",
            "country_code": "US",
            "telephone_number": "801-213-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRILL",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "353942-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.