Active NPI
Brandon Strickhouser-Monzon
- Pharmacist
- West Jordan, UT
National Provider Identifier
1124708417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23795
- Practice address
- 5710 W 7800 S
West Jordan, UT 84081-5400 - Phone
- (801) 545-3480
- NPI assigned
- Jul 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13452988-1721 | UT | |
| Pharmacist | 183500000X | 23795 | NV | Primary |
Addresses
Primary practice location
5710 W 7800 S
West Jordan, UT 84081-5400
Mailing address
79 E Princeton Dr Apt C210
Sandy, UT 84070-1247
Phone (661) 972-1163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23795 | NV | MD | Pharmacist |
| 13452988-1721 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1124708417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 E PRINCETON DR APT C210",
"city": "SANDY",
"state": "UT",
"postal_code": "840701247",
"telephone_number": "661-972-1163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 W 7800 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840815400",
"telephone_number": "801-545-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRICKHOUSER-MONZON",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "13452988-1721",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "23795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.