Active NPI
Specialty Sales & Service
- Durable Medical Equipment & Medical Supplies
- Logan, UT
National Provider Identifier
1114850997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SPECIALTY SALES & SERVICE
- Practice address
- 580 N Main St Ste 250D
Logan, UT 84321-2537 - Phone
- (801) 679-1874
- Fax
- (801) 679-1875
- NPI assigned
- Jun 3, 2026
- 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
- Michael Zeller
- Title
- Manager
- Phone
- (801) 850-1330
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
580 N Main St Ste 250D
Logan, UT 84321-2537
Mailing address
580 N Main St Ste 250D
Logan, UT 84321-2537
Phone (801) 679-1874
National Provider Directory
National Provider Directory- Tax ID family
- Specialty Sales Service
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Logan, UT
- NPI 1396804753
Locations
580 N Main St
Ste 250D
Logan, UT 84321
Phone (435) 890-0198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1114850997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 N MAIN ST STE 250D",
"city": "LOGAN",
"state": "UT",
"postal_code": "843212537",
"telephone_number": "801-679-1874",
"fax_number": "801-679-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 N MAIN ST STE 250D",
"city": "LOGAN",
"state": "UT",
"postal_code": "843212537",
"telephone_number": "801-679-1874",
"fax_number": "801-679-1875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY SALES & SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-03",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "ZELLER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "801-850-1330"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.