Payson Food Corporation Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

332540-1703 Issued in UT

Legal business name

PAYSON FOOD CORPORATION INC.

Practice address

586 N Main St
Payson, UT 84651-3428

Phone

(801) 465-2343

Fax

(801) 465-0856

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Harold Measom, PHARM.D

Title

Pharmacy Manager

Phone

(801) 465-2343

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PAYSON MARKET PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1174559330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 N MAIN ST",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846513428",
            "telephone_number": "801-465-2343",
            "fax_number": "801-465-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 N MAIN ST",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846513428",
            "telephone_number": "801-465-2343",
            "fax_number": "801-465-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON FOOD CORPORATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "MEASOM",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "801-465-2343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "332540-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4608521",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAYSON MARKET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Payson Chiropractic Inc
• Payson City Ambulance
• Payson City Corporation
• Payson Family and Cosmetic Dentistry, LLC
• Payson Family Therapy
• Payson Medical Laboratory, Inc
• Payson RX Express LLC
• Payson RX Express LLC
• Payson Sports & Spine LLC
• Pearl Care Inc

• Community/Retail Pharmacy in Payson, UT
• Providers in Payson, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.