Robin Mayetani, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

271191-1701 Issued in UT

Practice address

1820 W 9000 S
West Jordan, UT 84088-6728

Phone

(801) 562-4993

Fax

(801) 562-4987

NPI assigned

Oct 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smiths Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • West Jordan, UT
  • NPI 1063437697
  NPD (past)
• Smith'S Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1154964153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886728",
            "telephone_number": "801-562-4993",
            "fax_number": "801-562-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886728",
            "telephone_number": "801-562-4993",
            "fax_number": "801-562-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYETANI",
        "first_name": "ROBIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "271191-1701",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "UT",
            "license": "271191-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximum Potential
• Brin Maxwell
• Joshua Brent Maxwell, MD
• Tess Maxwell
• Mark May, MD
• Kendra Mayfield
• McKenze Maynard
• Claire McCallum
• Ken C McCauley, CMHC
• Becky McCrory

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.