NPIMap

Organization Active NPI

Utah State Developmental Center Pharmacy

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • American Fork, UT
National Provider Identifier
1164435129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
122434-1704 Issued in UT
Legal business name
UTAH STATE DEVELOPMENTAL CENTER PHARMACY
Practice address
895 N 900 E
American Fork, UT 84003-9183
Phone
(801) 763-4036
Fax
(801) 763-4073
NPI assigned
Aug 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Frank Whitney, RPNPI 1871708842
Title
Pharmacy Director
Phone
(801) 763-4160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 122434-1704 UT Primary

Addresses

Primary practice location

895 N 900 E
American Fork, UT 84003-9183

Mailing address

895 N 900 E
American Fork, UT 84003-9183
Phone (801) 763-4036

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164435129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 N 900 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840039183",
            "telephone_number": "801-763-4036",
            "fax_number": "801-763-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 N 900 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840039183",
            "telephone_number": "801-763-4036",
            "fax_number": "801-763-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH STATE DEVELOPMENTAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "801-763-4160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "UT",
            "license": "122434-1704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, 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.