Fusion Medical LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

FUSION MEDICAL LLC

Practice address

510 S 600 E
Salt Lake City, UT 84102-2710

Phone

(801) 355-6868

NPI assigned

Feb 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Cody Walker, PHARMD

Title

Pharmacist

Phone

(801) 898-7132

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1083953509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S 600 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S 600 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022710",
            "telephone_number": "801-355-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "801-898-7132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Compounding Pharmacy in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Compounding Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.