Organization Active NPI

Roots Pharmaceuticals Inc

  • Mail Order Pharmacy
  • American Fork, UT
National Provider Identifier
1194761585
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
60531781703 Issued in UT
Legal business name
ROOTS PHARMACEUTICALS INC
Practice address
12 W 100 N
Ste 201B
American Fork, UT 84003-1611
Phone
(559) 760-2934
Fax
(559) 756-7600
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Kyle Rootsaert, PHARMD RPH
Title
President
Phone
(559) 760-2934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 60531781703 UT Primary

Addresses

Primary practice location

12 W 100 N
Ste 201B
American Fork, UT 84003-1611

Mailing address

12 W 100 N
Ste 201B
American Fork, UT 84003-1611

Other identifiers 2

IdentifierTypeStateIssuer
4610451OtherOTHER ID NUMBER-COMMERCIAL NUMBER
4610451OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

12 W 100 N
Ste 201B
American Fork, UT 84003
Phone (559) 760-2934

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1194761585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W 100 N",
            "address_2": "STE 201B",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W 100 N",
            "address_2": "STE 201B",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031611",
            "telephone_number": "559-760-2934",
            "fax_number": "559-756-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "ROOTSAERT",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-760-2934",
        "authorized_official_credential": "PHARMD RPH"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "UT",
            "license": "60531781703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4610451",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4610451",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.