PCM Venture I Pharmacy

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

PCM VENTURE I PHARMACY

Practice address

9836 S Jordan Gtwy
Sandy, UT 84070-9509

Phone

(801) 262-6601

Fax

(801) 262-6636

NPI assigned

May 15, 2009

Last updated

Sep 17, 2014By 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

Mr. Peter Ax

Title

Owner

Phone

(480) 707-4534

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Capital Management, LLC Other name

Locations

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1205061538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9836 S JORDAN GTWY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840709509",
            "telephone_number": "801-262-6601",
            "fax_number": "801-262-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9836 S JORDAN GTWY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840709509",
            "telephone_number": "801-262-6601",
            "fax_number": "801-262-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCM VENTURE I PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "AX",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-707-4534",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Capital Management, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cheryl Ann Patterson, O.T.R
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• Michelle Ann Paxton, LCSW
• Valerie Payne
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• Rebekah Heninger Peacock
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• Alexzander Pearson
• David A Pearson, MD

• Mail Order Pharmacy in Sandy, UT
• Providers in Sandy, UT by specialty
• Mail Order Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.