Active NPI
Gary John Dawson, R.PH.
- Pharmacist
- Layton, UT
National Provider Identifier
1083724934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 141257-1701
- Practice address
- 2075 N 1200 W
Layton, UT 84041-1616 - Phone
- (801) 779-6210
- Fax
- (801) 779-6208
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- 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 | 141257-1701 | UT | Primary |
Addresses
Primary practice location
2075 N 1200 W
Layton, UT 84041-1616
Mailing address
5261 Mohawk LN
Ogden, UT 84403-4678
Phone (801) 479-1283
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141257-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083724934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5261 MOHAWK LN",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034678",
"telephone_number": "801-479-1283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 N 1200 W",
"city": "LAYTON",
"state": "UT",
"postal_code": "840411616",
"telephone_number": "801-779-6210",
"fax_number": "801-779-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "GARY",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "141257-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.