Active NPI
Roots Pharmaceuticals Inc
- Mail Order Pharmacy
- American Fork, UT
National Provider Identifier
1194761585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- License
- 60531781703
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4610451 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 4610451 | Other | OTHER ID NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.