Active NPI
Yingtong Su
- Pharmacist
- Sandy, UT
National Provider Identifier
1083587604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10960807
- Practice address
- 10130 S State St
Sandy, UT 84070-4118 - Phone
- (801) 255-3101
- NPI assigned
- Sep 29, 2025
- Sex
- Female
- 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 | 10960807 | UT | Primary |
Addresses
Primary practice location
10130 S State St
Sandy, UT 84070-4118
Mailing address
11009 S Lake Run Rd
South Jordan, UT 84009-8726
Phone (801) 448-9774
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 |
|---|---|---|---|
| 10960807 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1083587604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11009 S LAKE RUN RD",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840098726",
"telephone_number": "801-448-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10130 S STATE ST",
"city": "SANDY",
"state": "UT",
"postal_code": "840704118",
"telephone_number": "801-255-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "YINGTONG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "10960807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.