Leo Dean Jolley, RPH

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

145642-1701 Issued in UT

Practice address

1702 S 1100 E
Salt Lake City, UT 84105-3424

Phone

(801) 484-4393

Fax

(801) 484-8677

NPI assigned

Jul 13, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

Locations

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.

• Jolley Comp and Specialty Pham

  • Community/Retail Pharmacy
  • Salt Lake City, UT
  • NPI 1659445187
  NPD

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1073247268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053424",
            "telephone_number": "801-484-4393",
            "fax_number": "801-484-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053424",
            "telephone_number": "801-484-4393",
            "fax_number": "801-484-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLEY",
        "first_name": "LEO",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "UT",
            "license": "145642-1701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH PHARMACIST LICENSE",
            "identifier": "145642-1701",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Dean Jolley, PHARMD
• Chad Jolley, PHARM D
• Elisabeth K. Jolley, MSW, LCSW
• Hailie Sandra Jolley
• Jerald T Jolley, O.D.
• Matthew Bryce Jolley, PHARMD
• Michelle Ann Jolley
• Trevor Jolley
• Jolley'S Corner Businesses LLC
• Jolley'S Corner Variety, Inc.

• Ambulatory Care Pharmacist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Ambulatory Care Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.