Peyton Anderson, PHARMD
Individual provider Active NPI Pharmacist · Salt Lake City, UT
NPI 1104702893 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1104702893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 25392 (IA)
- Practice address
- 500 Foothill Blvd
Salt Lake City, UT 84148-0001 - Phone
- (801) 582-1565
- NPI assigned
- Aug 15, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25392 | IA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25392 | IA | Yes |
Addresses
Primary practice location
500 Foothill Blvd
Salt Lake City, UT 84148-0001
Mailing address
325 S Orchard Dr Apt B206
North Salt Lake, UT 84054-1853
Phone (319) 461-5505
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.