Heartland Pharmacy - Utah

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

HEARTLAND PHARMACY - UTAH

Practice address

160 Cutler Dr
North Salt Lake, UT 84054-2966

Phone

(208) 497-3575

Fax

(208) 552-2103

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Reece Christensen

Title

Ceo President

Phone

(208) 497-3575

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Tax ID family

Heartland Pharmacy - Utah2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heartland Pharmacy - Utah

  • Durable Medical Equipment & Medical Supplies
  • North Salt Lake, UT
  • NPI 1174131916
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Heartland Pharmacy - Boise

  • Durable Medical Equipment & Medical Supplies
  • Boise, ID
  • NPI 1891771747

  Member Of

  NPD member

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1053929919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 SABIN DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066747",
            "telephone_number": "208-497-3575",
            "fax_number": "208-552-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CUTLER DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542966",
            "telephone_number": "208-497-3575",
            "fax_number": "208-552-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PHARMACY - UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "REECE",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "208-497-3575"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fern Hardin
• Melanie Christensen Harper, RN, CNN
• Anne Hart, M.S., CCC-SLP/L
• Eric Hasebi, PHARMD
• Justin Dennis Heaps, D.D.S.
• Heartland Pharmacy - Utah
• Lauren Elizabeth Hirschi, CMHC
• Chad Holley, PHARMD
• Courtney Marie Holley
• Camille E. Horrocks

• Long Term Care Pharmacy in North Salt Lake, UT
• Providers in North Salt Lake, UT by specialty
• Long Term Care Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.