Musely Compounding Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

MUSELY COMPOUNDING PHARMACY LLC

Practice address

3959 W 1820 S Ste a
Salt Lake City, UT 84104-4951

Phone

(801) 755-0321

NPI assigned

Sep 21, 2021

Organization subpart

Yes

Parent organization

TRUSPER INCAs reported in NPPES

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

Authorized official

Name

Stacey Jones, PHARMD

Title

Pic

Phone

(801) 755-0321

Specialties & licenses 1

Addresses

Other names 1

• Musely Doing business as

Electronic endpoints 1

Tax ID family

Musely2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Musely Compounding Pharmacy LLC

  • Compounding Pharmacy
  • West Valley City, UT
  • NPI 1164255527
  NPD tax ID

Locations

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1114698073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 W 1820 S STE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841044951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 W 1820 S STE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841044951",
            "telephone_number": "801-755-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSELY COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRUSPER INC",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "801-755-0321",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "muselycompounding@gmail.com",
            "affiliation": "N",
            "address_1": "3959 W 1820 S Ste A",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841044951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Musely",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony G Musci, MD
• Derrick David Muse, M.D.
• Gregrey L Muse, DDS
• Marissa Muse
• Tandy Muse, PA
• Amy L Musgrave
• Kylr L Musich, MSW, LCSW
• Brenda Lynn Mussells, RD
• Sariah Musser
• Alison Jane Musso, PH.D.

• Compounding Pharmacy in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Compounding Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.