Individual provider Active NPI

George John Christophiades, PHARMD

  • Pharmacist
  • Ogden, UT
National Provider Identifier
1093453037
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
309551-1701 Issued in UT
Practice address
375 N Depot Dr Ste 110
Ogden, UT 84404-1391
Phone
(801) 393-0609
NPI assigned
May 20, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 309551-1701 UT Primary

Addresses

Primary practice location

375 N Depot Dr Ste 110
Ogden, UT 84404-1391

Mailing address

375 N Depot Dr Ste 110
Ogden, UT 84404-1391
Phone (801) 393-0609

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
309551-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
4Care Pharmacy Services LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1093453037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N DEPOT DR STE 110",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844041391",
            "telephone_number": "801-393-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N DEPOT DR STE 110",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844041391",
            "telephone_number": "801-393-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHIADES",
        "first_name": "GEORGE",
        "middle_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "309551-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.