Badger Management LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10121455-1703 Issued in UT

Legal business name

BADGER MANAGEMENT LLC

Doing business as

Lee's MarketPlace - Foxboro Pharmacy

Practice address

725 N Redwood Road
N Salt Lake, UT 84054

Phone

(385) 322-7900

Fax

(385) 322-7966

NPI assigned

Nov 18, 2016

Last updated

Mar 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Badger

Title

Member/Manager/President/Ao

Phone

(435) 774-4150

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lee's MarketPlace - Foxboro Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Badger Management LLC

  dba Lee's Marketplace- Mt. Green

  • Community/Retail Pharmacy
  • Mountain Green, UT
  • NPI 1336996602

  5092098319

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Badger Management LLC

  dba Lee's Marketplace- Mt. Green

  • Community/Retail Pharmacy
  • Mountain Green, UT
  • NPI 1336996602

  O20241001003935

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Badger Management LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Badger Management LLC

  dba Bella's Market Pharmacy

  • Pharmacy
  • Vineyard, UT
  • NPI 1306718135
  NPD tax ID
• Badger Management LLC

  dba Lee's Marketplace- Mt. Green

  • Community/Retail Pharmacy
  • Mountain Green, UT
  • NPI 1336996602
  NPD tax ID
• Badger Management LLC

  dba Bella's Market Pharmacy

  • Community/Retail Pharmacy
  • Vineyard, UT
  • NPI 1356215008
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Lees Marketplace Inc

  dba Lee's Marketplace Richmond Pharmacy

  • Community/Retail Pharmacy
  • Richmond, UT
  • NPI 1114630548

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Cheng

  • Pharmacist
  • North Salt Lake, UT
  • NPI 1619737046
  NPD (past)
• Emily Erickson, RPH

  • Pharmacist
  • North Salt Lake, UT
  • NPI 1760103246
  NPD (past)

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1083157382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E 1400 N",
            "address_2": "SUITE 110",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412486",
            "telephone_number": "435-774-4150",
            "fax_number": "435-774-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N REDWOOD ROAD",
            "city": "N SALT LAKE",
            "state": "UT",
            "postal_code": "84054",
            "telephone_number": "385-322-7900",
            "fax_number": "385-322-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADGER MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "BADGER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER/MANAGER/PRESIDENT/AO",
        "authorized_official_telephone_number": "435-774-4150"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "10121455-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166235",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee's MarketPlace - Foxboro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott D Farrell, O.D.
• Tranquil Living Center Group Corp

• Community/Retail Pharmacy in N Salt Lake, UT
• Providers in N Salt Lake, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.