Heartland Pharmacy - Utah

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEARTLAND PHARMACY - UTAH

Practice address

160 Cutler Dr
North Salt Lake, UT 84054-2966

Phone

(208) 497-3575

NPI assigned

Jul 17, 2020

Last updated

Jul 17, 2020By 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

Reece Christensen

Title

Ceo President

Phone

(208) 497-3575

Specialties & licenses 1

Addresses

Tax ID family

Heartland Pharmacy - Utah2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heartland Pharmacy - Utah

  • Long Term Care Pharmacy
  • North Salt Lake, UT
  • NPI 1053929919
  NPD tax ID

Locations

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1174131916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 SABIN DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066747",
            "telephone_number": "208-497-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CUTLER DR",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542966",
            "telephone_number": "208-497-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PHARMACY - UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "REECE",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "208-497-3575"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Christensen Harper, RN, CNN
• Anne Hart, M.S., CCC-SLP/L
• Eric Hasebi, PHARMD
• Justin Dennis Heaps, D.D.S.
• Heartland Pharmacy - Utah
• Lauren Elizabeth Hirschi, CMHC
• Chad Holley, PHARMD
• Courtney Marie Holley
• Camille E. Horrocks
• Kenneth Lynn Hull, L.P.C.

• Durable Medical Equipment & Medical Supplies in North Salt Lake, UT
• Providers in North Salt Lake, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.