Organization Active NPI

GMT Pharmacy PC

  • Oncology Pharmacist
  • Salt Lake City, UT
National Provider Identifier
1083343628
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
Legal business name
GMT PHARMACY PC
Doing business as
HAVEN Home Cancer Services
Practice address
1890 S 3850 W Ste 220a
Salt Lake City, UT 84104-4909
Phone
(801) 604-8736
NPI assigned
Jun 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Dr. Charles Oaxaca Hall, PHARMD
Title
Charge Pharmacist
Phone
(801) 604-8736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835X0200X Primary

Addresses

Primary practice location

1890 S 3850 W Ste 220a
Salt Lake City, UT 84104-4909

Mailing address

1890 S 3850 W Ste 220a
Salt Lake City, UT 84104-4909
Phone (801) 604-8736

Other names 1

  • HAVEN Home Cancer Services Doing business as

National Provider Directory

National Provider Directory

Locations

1890 S 3850 W
Ste 220A
Salt Lake City, UT 84104
Phone (801) 604-8736

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1083343628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 S 3850 W STE 220A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841044909",
            "telephone_number": "801-604-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S 3850 W STE 220A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841044909",
            "telephone_number": "801-604-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMT PHARMACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "OAXACA",
        "authorized_official_title_or_position": "CHARGE PHARMACIST",
        "authorized_official_telephone_number": "801-604-8736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAVEN Home Cancer Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.