Jonathan Randall Warren, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

104781781701 Issued in UT

Practice address

1208 Washington Blvd
Ogden, UT 84404-5743

Phone

(801) 621-1367

NPI assigned

Apr 20, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Ogden, UT
  • NPI 1750712196
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1184367757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 S 2885 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840757031",
            "telephone_number": "385-985-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045743",
            "telephone_number": "801-621-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JONATHAN",
        "middle_name": "RANDALL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "104781781701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Terry Warner, RPH
• Kyle Warner, PT, DPT
• Naomi Warner
• Shayley Marie Warner, CMHC
• Cyrus Mace Warren, LCSW
• Teresa Lee Warwood, APRN
• Wasatch Advanced Dental Care LLC
• Wasatch Dental Association, P.C.
• Wasatch Dermatology, PC
• Wasatch Physical and Rehabilitation Medicine, P.C.

• Pharmacist in Ogden, UT
• Providers in Ogden, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.