Active NPI
Brian Hathaway, PHARMD
- Infectious Diseases Pharmacist
- Salt Lake City, UT
National Provider Identifier
1093667925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Diseases Pharmacist
- License
- 6976690-1701
- Practice address
- 1200 E 3900 S
Salt Lake City, UT 84124-1300 - Phone
- (801) 268-7111
- NPI assigned
- Feb 12, 2026
- 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 |
|---|---|---|---|---|
| Infectious Diseases Pharmacist | 1835I0206X | 6976690-1701 | UT | Primary |
Addresses
Primary practice location
1200 E 3900 S
Salt Lake City, UT 84124-1300
Mailing address
1936 E Hubbard Ave
Salt Lake City, UT 84108-1304
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6976690-1701 | UT | MD | Medical license number |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1093667925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 E HUBBARD AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E 3900 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241300",
"telephone_number": "801-268-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHAWAY",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-12",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835I0206X",
"taxonomy_group": "",
"desc": "Pharmacist, Infectious Diseases",
"state": "UT",
"license": "6976690-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.