Organization Active NPI

Jolley's Corner Businesses LLC

Doing business as Jolleys Corner Pharmacy

  • Community/Retail Pharmacy
  • Salt Lake City, UT
National Provider Identifier
1114592722
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jun 23, 2021

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)CodeLicenseStatePrimary
Pharmacy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.