P4 Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

P4 PHARMACY

Practice address

3583 W 9800 S Ste 101
South Jordan, UT 84095-3254

Phone

(385) 415-5863

Fax

(285) 256-9431

NPI assigned

Dec 19, 2018

Organization subpart

No

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

Authorized official

Name

Spencer SnyderNPI 1417146028

Title

Pharmacist

Phone

(385) 274-0098

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Spencer Snyder, PHARMD

  • Pharmacist
  • South Jordan, UT
  • NPI 1417146028
  NPD Authorized official

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1093287757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3583 W 9800 S STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3583 W 9800 S STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953254",
            "telephone_number": "385-415-5863",
            "fax_number": "285-256-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P4 PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "385-274-0098"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Joelle Overby, DMSC, PA-C
• Patience Owan
• David Gareth Owen, MD
• McKinsey Owen, FNP-C
• Own My Health LLC
• Heidi Pace
• Pack Physical Therapy, Inc.
• Brodie James Pack, MPT
• Cortney Breann Pack, LMT
• Cassandra Mara Padgett

• Long Term Care Pharmacy in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Long Term Care Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.