Organization Active NPI

Haven Integrated Pharmacy Operations

  • Specialty Pharmacy
  • Salt Lake City, UT
National Provider Identifier
1114773132
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
HAVEN INTEGRATED PHARMACY OPERATIONS
Practice address
1890 S 3850 W Ste 220
Salt Lake City, UT 84104-4939
Phone
(385) 549-1121
Fax
(855) 571-3472
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Dr. Charles Oaxaca Hall, PHARMDNPI 1346077906
Title
President and Pharmacist in Charge
Phone
(801) 604-8736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

1890 S 3850 W Ste 220
Salt Lake City, UT 84104-4939

Mailing address

1890 S 3850 W Ste 220
Salt Lake City, UT 84104-4939
Phone (385) 549-1121

Other identifiers 1

IdentifierTypeStateIssuer
4318030MedicaidUT

Other names 2

  • Haven Home Cancer Services Doing business as
  • Haven Rx Other name

National Provider Directory

National Provider Directory

Locations

1890 S 3850 W
Ste 220
Salt Lake City, UT 84104
Phone (385) 549-1121

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1114773132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 S 3850 W STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841044939",
            "telephone_number": "385-549-1121",
            "fax_number": "855-571-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S 3850 W STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841044939",
            "telephone_number": "385-549-1121",
            "fax_number": "855-571-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN INTEGRATED PHARMACY OPERATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "OAXACA",
        "authorized_official_title_or_position": "PRESIDENT AND PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "801-604-8736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4318030",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Home Cancer Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven Home Cancer Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven Rx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 2, 2026; 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.