Organization Active NPI

Planned Parenthood

  • Clinic Pharmacy
  • Salt Lake City, UT
National Provider Identifier
1104242114
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
1309351704 Issued in UT
Legal business name
PLANNED PARENTHOOD
Practice address
654 S 900 E
Salt Lake City, UT 84102-3478
Phone
(801) 322-5571
Fax
(801) 322-0065
NPI assigned
Mar 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Penny Davies
Title
VP Clinical Programs
Phone
(801) 532-1586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 1309351704 UT Primary

Addresses

Primary practice location

654 S 900 E
Salt Lake City, UT 84102-3478

Mailing address

654 S 900 E
Salt Lake City, UT 84102-3478
Phone (801) 322-5571

Other identifiers 2

IdentifierTypeStateIssuer
1073549614MedicaidUT
2144683OtherPK

Other names 1

  • Planned Parenthood Salt Lake City Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood Association of Utah8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1104242114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023478",
            "telephone_number": "801-322-5571",
            "fax_number": "801-322-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023478",
            "telephone_number": "801-322-5571",
            "fax_number": "801-322-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "VP CLINICAL PROGRAMS",
        "authorized_official_telephone_number": "801-532-1586"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "UT",
            "license": "1309351704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073549614",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144683",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Salt Lake City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Planned Parenthood Salt Lake City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 16, 2021; 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.