Dicks Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

330257-1703 Issued in UT

Legal business name

DICKS FAMILY PHARMACY INC

Practice address

2280 So Orchard Dr
Bountiful, UT 84010-5614

Phone

(801) 296-2222

Fax

(801) 296-2238

NPI assigned

Sep 5, 2006

Last updated

Nov 3, 2010By 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

Mr. Eric Dale Loveridge

Title

Owner/Pharmacist

Phone

(801) 296-2222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Practitioners 1

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.

• Kristina Everett, B.S.

  • Pharmacist
  • Bountiful, UT
  • NPI 1750526489
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1083716310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 SO ORCHARD DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105614",
            "telephone_number": "801-296-2222",
            "fax_number": "801-296-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 SO ORCHARD DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105614",
            "telephone_number": "801-296-2222",
            "fax_number": "801-296-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKS FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "LOVERIDGE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "801-296-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "330257-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deseret Health Group, LLC
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• Ryan Colby Despain, DPT
• Bradley Jay Devereaux, D.C.
• Shaun Claud Devoy
• Hu Ding, MD
• Deanna Dixon
• Roxanna Dobran, DMD
• Shaleen Doctor
• Julianna Catalina Dominguez

• Community/Retail Pharmacy in Bountiful, UT
• Providers in Bountiful, 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 Nov 3, 2010; 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.