Organization Active NPI

VRX Pharmacy LLC

  • Community/Retail Pharmacy
  • Salt Lake City, UT
National Provider Identifier
1194048918
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10168644-1703 Issued in UT
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

Updated by the provider on Mar 13, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1194048918MedicaidUT
2124042OtherPK

Other names 1

  • VRx Pharmacy @ City Creek Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.