Nat-Su Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

NAT-SU PHARMACY LLC

Practice address

1959 N Aaron Dr Ste B
Tooele, UT 84074-8111

Phone

(435) 850-1823

Fax

(435) 850-1911

NPI assigned

Aug 10, 2023

Last updated

Oct 9, 2024By 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

Crystal Brennan

Title

Billing Director

Phone

(385) 529-8735

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1194408617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 N AARON DR STE B",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840748111",
            "telephone_number": "435-850-1823",
            "fax_number": "435-850-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 N AARON DR STE B",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840748111",
            "telephone_number": "435-850-1823",
            "fax_number": "435-850-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAT-SU PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "385-529-8735"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Michael Mullin, ED.S.
• Anthony Muradas
• Cassia Myrberg
• Nat-Su Behavioral Health LLC
• Nat-Su Health Care LLC
• Kristine Conklin Naylor, CMHC
• Natasha K Naylor
• Michal Allen Neff, LCSW, CSUDC
• Michael Spencer Neil
• Brad Robert Nelson, PHARMD

• Pharmacy in Tooele, UT
• Providers in Tooele, UT by specialty
• Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.