PC Pharmacy at the Clinic Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PC PHARMACY AT THE CLINIC INC

Doing business as

Park City Phcy at the Clinic

Practice address

1665 Bonanza Dr
Park City, UT 84060

Phone

(435) 658-5051

Fax

(435) 658-5093

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Kristy Black

Title

Owner

Phone

(435) 658-5051

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PARK CITY PHCY AT THE CLINIC Doing business as

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124132113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680772",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840680772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 BONANZA DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84060",
            "telephone_number": "435-658-5051",
            "fax_number": "435-658-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC PHARMACY AT THE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-658-5051"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "60427351703",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4609547",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK CITY PHCY AT THE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imari Pravin Patel, MD
• Pathways Counseling Center
• Patricia a Lindsay PHD Inc
• Paul Innis DMD Inc
• Matthew Paul
• Penny Jean Peacock, M.D.
• Peak Performance Physical Therapy, PC (Peak Performance Sports Medicine)
• Steven Pearmain, PA.C
• Thomas Roger Peay, PH.D.
• Wade A Peers, D.D.S.

• Community/Retail Pharmacy in Park City, UT
• Providers in Park City, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.