Individual provider Active NPI

Henry Hsieh, PHARMD

  • Pharmacist
  • West Valley City, UT
National Provider Identifier
1063140796
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10493497-1701 Issued in UT
Practice address
3540 S 4000 W Ste 430
West Valley City, UT 84120-3246
Phone
(801) 957-8454
NPI assigned
Aug 10, 2022
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10493497-1701 UT Primary

Addresses

Primary practice location

3540 S 4000 W Ste 430
West Valley City, UT 84120-3246

Mailing address

1629 W 8390 S
West Jordan, UT 84088-7916
Phone (801) 664-9491

Other identifiers 2

IdentifierTypeStateIssuer
10493497-1701OtherUTUT DOPL - PHARMACIST LICENSE
10493497-8911OtherUT DOPL - PHARMACIST CONTROLLED SUBSTANCE LICENSE

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
10493497-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1063140796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 W 8390 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840887916",
            "telephone_number": "801-664-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S 4000 W STE 430",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841203246",
            "telephone_number": "801-957-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "HENRY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "10493497-1701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UT DOPL - PHARMACIST LICENSE",
            "identifier": "10493497-1701",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UT DOPL - PHARMACIST CONTROLLED SUBSTANCE LICENSE",
            "identifier": "10493497-8911",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.