Organization Active NPI

High Creek Pharmacy

  • Community/Retail Pharmacy
  • Richmond, UT
National Provider Identifier
1083359988
Registry record updated May 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HIGH CREEK PHARMACY
Practice address
609 S Highway 91
Richmond, UT 84333-1208
Phone
(435) 258-5560
Fax
(435) 258-5538
NPI assigned
May 4, 2022
Last updated
May 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2022

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

Authorized official

Name
Elliot Morrell, PHARMD
Title
Pic and Owner
Phone
(435) 258-5560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

609 S Highway 91
Richmond, UT 84333-1208

Mailing address

135 N 3Rd E
Preston, ID 83263-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220831004023 UT Part B Supplier - Pharmacy 0345624805 Practice locations: Richmond, UT

National Provider Directory

National Provider Directory

Locations

609 S Highway 91
Richmond, UT 84333
Phone (435) 258-5560

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653091200000",
    "number": "1083359988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N 3RD E",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S HIGHWAY 91",
            "city": "RICHMOND",
            "state": "UT",
            "postal_code": "843331208",
            "telephone_number": "435-258-5560",
            "fax_number": "435-258-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH CREEK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A",
        "authorized_official_last_name": "MORRELL",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "PIC AND OWNER",
        "authorized_official_telephone_number": "435-258-5560",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.