Pco-Kta, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PCO-KTA, LLC

Practice address

3673 West 2600 North
Plain City, UT 84404

Phone

(801) 827-0688

Fax

(801) 827-0698

NPI assigned

Aug 17, 2017

Last updated

Oct 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Schultz, PHARMD

Title

Pharmacy Manager

Phone

(801) 827-0688

Specialties & licenses 1

Addresses

Other names 1

• Kent's Market Pharmacy Plain City Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1134645526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3673 WEST 2600 NORTH",
            "city": "PLAIN CITY",
            "state": "UT",
            "postal_code": "84404",
            "telephone_number": "801-827-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3673 WEST 2600 NORTH",
            "city": "PLAIN CITY",
            "state": "UT",
            "postal_code": "84404",
            "telephone_number": "801-827-0688",
            "fax_number": "801-827-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCO-KTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "801-827-0688",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent's Market Pharmacy Plain City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie M Mitchell, C.D.
• Christina Mae Morris
• Mountain Strong Spine and Performance
• Bobbie Jo Nielsen
• Outreach Medical Group
• Plain City Family Dental PLLC
• Runnelsnp PLLC
• Juancarlos Santisteban
• Sunflower Assisted Living and Memory Care

• Community/Retail Pharmacy in Plain City, UT
• Providers in Plain 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 Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.