Skin Care RX L L C

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

7076211-1704 Issued in UT

Legal business name

SKIN CARE RX L L C

Doing business as

Skin Care Rx LLC

Practice address

1055 S 700 W
Salt Lake City, UT 84104-1504

Phone

(801) 924-3927

Fax

(801) 924-5822

NPI assigned

Feb 13, 2009

Organization subpart

No

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

Authorized official

Name

Lola Porter

Title

Pic

Phone

(801) 924-3927

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Skin Care Rx LLC Doing business as

Locations

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1124267117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 S 700 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841041504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S 700 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841041504",
            "telephone_number": "801-924-3927",
            "fax_number": "801-924-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CARE RX L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LOLA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "801-924-3927"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "UT",
            "license": "7076211-1704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4611201",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Care Rx LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Ellison Skelton, CSW
• Aaron B. Skidmore, CRNA
• Nicole Marie Skidmore, RPH
• Thomas B. Skidmore, MD
• Skill Builders ABA
• Skinner Dental
• Andrew Michael Skinner, M.D.
• Jason D Skinner, D.D.S.
• Justin Skinner, DMD
• Lee Skinner, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.