Organization Active NPI

The Village Pantry #9

  • Long Term Care Pharmacy
  • Springville, UT
National Provider Identifier
1114565280
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
THE VILLAGE PANTRY #9
Practice address
405 S Main St
Springville, UT 84663-2252
Phone
(801) 489-5618
Fax
(801) 489-0441
NPI assigned
Dec 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Larry Prettyman, PHARMD
Title
Pharmacist
Phone
(801) 489-5618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

405 S Main St
Springville, UT 84663-2252

Mailing address

405 S Main St
Springville, UT 84663-2252
Phone (801) 489-5618

Other names 1

  • Art City Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1114565280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S MAIN ST",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632252",
            "telephone_number": "801-489-5618",
            "fax_number": "804-489-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S MAIN ST",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632252",
            "telephone_number": "801-489-5618",
            "fax_number": "801-489-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE PANTRY #9",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "PRETTYMAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "801-489-5618",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Art City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.