Individual provider Active NPI

Vijay Kale, PH.D, RPH

  • Pharmacist
  • South Jordan, UT
National Provider Identifier
1104484377
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8612317-1701 Issued in UT
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

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
8612317-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellcare Pharmacy LLC CurrentSince Sep 1, 2022 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.

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.

Verify at the official NPI Registry.