Active NPI
Vijay Kale, PH.D, RPH
- Pharmacist
- South Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8612317-1701
- Practice address
- 10920 S River Front Pkwy
South Jordan, UT 84095-3538 - Phone
- (801) 878-1078
- NPI assigned
- Jun 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8612317-1701 | UT | Primary |
Addresses
Primary practice location
10920 S River Front Pkwy
South Jordan, UT 84095-3538
Mailing address
10920 S River Front Pkwy
South Jordan, UT 84095-3538
Phone (801) 878-1078
Other practice location 1
11637 S Chalk Creek Way
South Jordan, UT 84095
Phone (318) 237-7691
Other practice location 2
648 E 800 S
Orem, UT 84097-6528
Phone (801) 851-5003
Other practice location 3
5201 S Intermountain Dr
Murray, UT 84107-6024
Phone (801) 290-4200
Other practice location 4
3078 W 7800 S Ste 9
West Jordan, UT 84088-3705
Phone (385) 855-3055
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 Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8612317-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellcare Pharmacy LLC | Current | Accepting new patients |
Locations
3078 W 7800 S
Ste 9
West Jordan, UT 84088
Phone (385) 855-3055
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.
-
- Community/Retail Pharmacy
- West Jordan, UT
- NPI 1942923974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1104484377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10920 S RIVER FRONT PKWY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840953538",
"telephone_number": "801-878-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10920 S RIVER FRONT PKWY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840953538",
"telephone_number": "801-878-1078"
}
],
"practiceLocations": [
{
"address_1": "11637 S Chalk Creek Way",
"address_purpose": "LOCATION",
"city": "South Jordan",
"state": "UT",
"postal_code": "84095",
"country_code": "US",
"telephone_number": "318-237-7691",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "648 E 800 S",
"address_purpose": "LOCATION",
"city": "Orem",
"state": "UT",
"postal_code": "840976528",
"country_code": "US",
"telephone_number": "801-851-5003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5201 S Intermountain Dr",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "UT",
"postal_code": "841076024",
"country_code": "US",
"telephone_number": "801-290-4200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3078 W 7800 S Ste 9",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840883705",
"country_code": "US",
"telephone_number": "385-855-3055",
"fax_number": "385-855-3053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALE",
"first_name": "VIJAY",
"credential": "PH.D, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "8612317-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.