Utah State Developmental Center Pharmacy

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

Organization subpart

No

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

Authorized official

Name

Mr. Frank Whitney, RP

Title

Pharmacy Director

Phone

(801) 763-4160

Specialties & licenses 1

Addresses

Other identifiers 3

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4603773",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "52820957000001",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000545015",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Utah Chiropractic and Rehab
• Utah CVS Pharmacy LLC
• Utah CVS Pharmacy, L.L.C.
• Utah Dermatology and Skin Cancer Associates Inc
• Utah State Developmental Center
• Utah Upper Cervical Chiropractic
• Utah Valley Dental
• Florena Vaki
• Alberto Valdez
• Valley Obstetrics and Gynecology, P.C.

• All providers in American Fork, UT
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Utah

• 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.