Active NPI
High Creek Pharmacy
- Community/Retail Pharmacy
- Richmond, UT
National Provider Identifier
1083359988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220831004023 | UT | Part B Supplier - Pharmacy | 0345624805 | Practice locations: Richmond, UT |
National Provider Directory
National Provider DirectoryLocations
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.