Pharmacy Services LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

8184721-1704 Issued in UT

Legal business name

PHARMACY SERVICES LLC

Doing business as

FIVE STAR SPECIALTY PHARMACY

Practice address

2235 S 1300 W Ste D
Salt Lake City, UT 84119-7242

Phone

(801) 302-8555

Fax

(801) 302-8600

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Bryan NicholsNPI 1417292558

Title

Owner

Phone

(801) 302-8555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FIVE STAR SPECIALTY PHARMACY Doing business as

Locations

Practitioners 1

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

• Bryan L Nichols, RPH

  • Pharmacist
  • Salt Lake City, UT
  • NPI 1417292558
  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1093803215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26667",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841260667",
            "telephone_number": "801-302-8555",
            "fax_number": "801-302-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 S 1300 W STE D",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841197242",
            "telephone_number": "801-302-8555",
            "fax_number": "801-302-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-302-8555"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "UT",
            "license": "8184721-1704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIVE STAR SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yen Hai Nguyen Pham, PHARMD
• Julie Phan, PHARMD
• Kathy Phan, PHARMD
• Luat Dinh Phan
• Tony Xuan Phan
• Pharmerica Drug Systems LLC
• Pharmerica Drug Systems, LLC
• Phase II Center for Womens Health
• Amy N Phelps, MD
• Ariane Phelps

• Long Term Care Pharmacy in Salt Lake City, UT
• Providers in Salt Lake City, 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 Jul 2, 2014; 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.