Active NPI
Southeast Pharmacy
- Community/Retail Pharmacy
- Salt Lake City, UT
National Provider Identifier
1114089794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1277321703
- Legal business name
- SOUTHEAST PHARMACY
- Practice address
- 2670 S 2000 E
Salt Lake City, UT 84109-1736 - Phone
- (801) 466-2181
- NPI assigned
- Dec 13, 2006
- Last updated
- Aug 22, 2020
- 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
- Robert R Hunter
- Title
- Pharmacist
- Phone
- (801) 466-2181
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 1277321703 | UT | Primary |
Addresses
Primary practice location
2670 S 2000 E
Salt Lake City, UT 84109-1736
Mailing address
2670 S 2000 E
Salt Lake City, UT 84109-1736
National Provider Directory
National Provider DirectoryLocations
2670 S 2000 E
Slc, UT 84109
Phone (801) 960-2550
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Salt Lake City, UT
- NPI 1720140874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114089794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 S 2000 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841091736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 S 2000 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841091736",
"telephone_number": "801-466-2181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "801-466-2181"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "UT",
"license": "1277321703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.