Active NPI
Bryan Allred
- Pharmacist
- West Valley, UT
National Provider Identifier
1073852018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6729928-1701
- Practice address
- 3725 W 4100 S
West Valley, UT 84120-5530 - Phone
- (801) 597-5650
- NPI assigned
- Feb 12, 2013
- Last updated
- Feb 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6729928-1701 | UT | Primary |
Addresses
Primary practice location
3725 W 4100 S
West Valley, UT 84120-5530
Mailing address
2157 W 8770 S
West Jordan, UT 84088-9332
Phone (801) 597-5650
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6729928-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granger Pharmacy | Pharmacist | Current | Accepting new patients |
| Granger Pharmacy | Current | Accepting new patients |
Locations
3725 W 4100 S
West Valley City, UT 84120
Phone (801) 965-3545
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacist
- West Valley, UT
- NPI 1548791270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1073852018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2157 W 8770 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840889332",
"telephone_number": "801-597-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 W 4100 S",
"city": "WEST VALLEY",
"state": "UT",
"postal_code": "841205530",
"telephone_number": "801-597-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "BRYAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-12",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "6729928-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.