Winegars Super Markets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9423319-1703 Issued in UT

Legal business name

WINEGARS SUPER MARKETS INC

Doing business as

Winegars Supermarkets

Practice address

1080 W 300 N
Clearfield, UT 84015-8732

Phone

(801) 773-7330

Fax

(801) 525-0175

NPI assigned

Nov 26, 2005

Last updated

Oct 7, 2015By 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

Lonny Winegar

Title

Vice President

Phone

(801) 298-5407

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Winegars Supermarkets Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Petersen, PHARM D

  • Pharmacist
  • Brigham City, UT
  • NPI 1962835157
  NPD
• Dominic Derose Jr.

  • Pharmacist
  • Clearfield, UT
  • NPI 1083698559
  NPD (past)

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

{
    "created_epoch": "1132963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1205819968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 W 3400 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108036",
            "telephone_number": "801-298-5407",
            "fax_number": "801-298-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 W 300 N",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840158732",
            "telephone_number": "801-773-7330",
            "fax_number": "801-525-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINEGARS SUPER MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-26",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "WINEGAR",
        "authorized_official_first_name": "LONNY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "801-298-5407"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "9423319-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154481",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winegars Supermarkets",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Ann Wilkinson
• Kim Regina Williams - Redmond
• Ashlee R Williams, DPT
• Madeline Wilson
• Sarah Wilson
• Rachel Ann Winsley, CBD
• Kirt Don Wise, LCSW
• Jeffrey Kirk Wood, DDS
• Kelly James Wood, PA-C
• Workability Centers, LLC (Ability Rehab and Physical Therapy)

• Community/Retail Pharmacy in Clearfield, UT
• Providers in Clearfield, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.