NPIMap

Organization Active NPI

Abc Enterprises I, LLC

  • Community/Retail Pharmacy
  • Mt. Pleasant, UT
National Provider Identifier
1154411601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ABC ENTERPRISES I, LLC
Practice address
1050 South Medical Drive Suite B
Mt. Pleasant, UT 84647
Phone
(435) 462-0116
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brent W Peterson, PHARM.D.
Title
Pharmacist/Owner
Phone
(435) 851-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1050 South Medical Drive Suite B
Mt. Pleasant, UT 84647

Mailing address

1050 South Medical Drive Suite B
Mt. Pleasant, UT 84647
Phone (435) 462-0116

Other names 1

  • Pleasant Creek Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1050 S Medical Dr
#B
Mt Pleasant, UT 84647
Phone (435) 462-0116

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154411601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SOUTH MEDICAL DRIVE SUITE B",
            "city": "MT. PLEASANT",
            "state": "UT",
            "postal_code": "84647",
            "telephone_number": "435-462-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SOUTH MEDICAL DRIVE SUITE B",
            "city": "MT. PLEASANT",
            "state": "UT",
            "postal_code": "84647",
            "telephone_number": "435-462-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC ENTERPRISES I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "435-851-1510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Creek Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt. Pleasant, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.