M and M Prescription Services Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

86909741704 Issued in UT

Legal business name

M AND M PRESCRIPTION SERVICES INC

Practice address

11585 S State St Ste 103
Draper, UT 84020-7403

Phone

(801) 890-0346

Fax

(801) 542-0491

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Kevin Hagen

Title

Pres

Phone

(801) 252-9790

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• M AND M PRESCRIPTION SERVICE INC Doing business as

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1114068079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901388",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840901388",
            "telephone_number": "801-252-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11585 S STATE ST STE 103",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207403",
            "telephone_number": "801-890-0346",
            "fax_number": "801-542-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M AND M PRESCRIPTION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "801-252-9790"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "UT",
            "license": "86909741704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2107585",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870264004021",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M AND M PRESCRIPTION SERVICE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Lybbert
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• Sydnee Lythgoe
• Ma Family Health PLLC
• Kent Ma, PA
• Dillon Mabey
• Grace Macdowell, PSY.D.
• Grecia Maceda

• Long Term Care Pharmacy in Draper, UT
• Providers in Draper, UT by specialty
• Long Term Care Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.