Active NPI
Jolley's Corner Businesses LLC
Doing business as Jolleys Corner Pharmacy
- Community/Retail Pharmacy
- Salt Lake City, UT
National Provider Identifier
1114592722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- JOLLEY'S CORNER BUSINESSES LLC
- Doing business as
- Jolleys Corner Pharmacy
- Practice address
- 1676 E 1300 S
Salt Lake City, UT 84105-1704 - Phone
- (801) 657-2286
- NPI assigned
- May 25, 2021
- 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
- Chris Kendrick
- Title
- Owner
- Phone
- (801) 582-1600
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1676 E 1300 S
Salt Lake City, UT 84105-1704
Mailing address
1676 E 1300 S
Salt Lake City, UT 84105-1704
Phone (801) 582-1600
Other names 1
- Jolleys Corner Pharmacy
National Provider Directory
National Provider DirectoryLocations
1676 E 1300 S
Slc, UT 84105
Phone (801) 582-1999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624406400000",
"number": "1114592722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1676 E 1300 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841051704",
"telephone_number": "801-582-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1676 E 1300 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841051704",
"telephone_number": "801-657-2286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOLLEY'S CORNER BUSINESSES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-25",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A",
"authorized_official_last_name": "KENDRICK",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-582-1600"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jolleys Corner Pharmacy",
"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 Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.