Active NPI
Depot Drug
- Mail Order Pharmacy
- Salt Lake City, UT
National Provider Identifier
1104987312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- License
- 66418181704
- Legal business name
- DEPOT DRUG
- Practice address
- 1040 N 2200 W Ste 200
Salt Lake City, UT 84116-2929 - Phone
- (800) 331-6353
- Fax
- (801) 595-4440
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Curtis Hughes, B.S PHARMACY
- Title
- Director of Pharmacy
- Phone
- (801) 595-4319
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Mail Order Pharmacy | 3336M0002X | 66418181704 | UT | Primary |
Addresses
Primary practice location
1040 N 2200 W Ste 200
Salt Lake City, UT 84116-2929
Mailing address
1040 N 2200 W Ste 200
Salt Lake City, UT 84116-2929
Phone (800) 331-6353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2107668 | Other | PK |
Other names 1
- Depot Drug
National Provider Directory
National Provider Directory- Tax ID family
- Depot Drug
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Omaha, NE
- NPI 1487703336
-
- Community/Retail Pharmacy
- North Platte, NE
- NPI 1528117751
Locations
1040 N 2200 W
Ste 200
Salt Lake City, UT 84116
Phone (800) 331-6353
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Bellevue, NE
- NPI 1902864622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488931200000",
"number": "1104987312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 N 2200 W STE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841162929",
"telephone_number": "800-331-6353",
"fax_number": "844-267-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 N 2200 W STE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841162929",
"telephone_number": "800-331-6353",
"fax_number": "801-595-4440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPOT DRUG",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2017-03-08",
"status": "A",
"authorized_official_last_name": "HUGHES",
"authorized_official_first_name": "CURTIS",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "801-595-4319",
"authorized_official_credential": "B.S PHARMACY"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "UT",
"license": "66418181704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2107668",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Depot Drug",
"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 Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.