Active NPI
VRX Pharmacy LLC
- Community/Retail Pharmacy
- Salt Lake City, UT
National Provider Identifier
1194048918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10168644-1703
- Legal business name
- VRX PHARMACY LLC
- Practice address
- 50 E South Temple Ste 145
Salt Lake City, UT 84111-1020 - Phone
- (801) 236-8879
- Fax
- (866) 655-3572
- NPI assigned
- Mar 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cameron Dawson
- Title
- Pharmacy Manager
- Phone
- (801) 236-8879
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 10168644-1703 | UT | Primary |
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
50 E South Temple Ste 145
Salt Lake City, UT 84111-1020
Mailing address
19 E 200 S FL 10
Salt Lake City, UT 84111-1915
Phone (801) 236-8879
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194048918 | Medicaid | UT | |
| 2124042 | Other | PK |
Other names 1
- VRx Pharmacy @ City Creek
National Provider Directory
National Provider DirectoryLocations
19 E 200 S
Fl 10
Salt Lake City, UT 84111
Phone (801) 449-3089
50 E South Temple
Ste 145
Salt Lake City, UT 84111
Phone (801) 236-8879
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Salt Lake City, UT
- NPI 1851310924
-
- Family Medicine Physician
- Hendersonville, NC
- NPI 1003864521
-
- Pharmacist
- Salt Lake City, UT
- NPI 1659700391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489363200000",
"number": "1194048918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 E 200 S FL 10",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111915",
"telephone_number": "801-236-8879",
"fax_number": "801-326-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E SOUTH TEMPLE STE 145",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111020",
"telephone_number": "801-236-8879",
"fax_number": "866-655-3572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VRX PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-08",
"last_updated": "2017-03-13",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "CAMERON",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "801-236-8879"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "UT",
"license": "10168644-1703",
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194048918",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2124042",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VRx Pharmacy @ City Creek",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.