Mountain Care Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

7478838-1704 Issued in UT

Legal business name

MOUNTAIN CARE PHARMACY LLC

Doing business as

Mountain Care Pharmacy LLC

Practice address

1030 W Bellwood LN
Murray, UT 84123-4494

Phone

(801) 747-7191

Fax

(801) 747-7192

NPI assigned

Apr 6, 2007

Last updated

Sep 27, 2013By 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

Jared Stong, PHRMD

Title

Owner

Phone

(801) 747-7191

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MOUNTAIN CARE PHARMACY LLC Doing business as

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1205959335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W BELLWOOD LN",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841234494",
            "telephone_number": "801-747-7191",
            "fax_number": "801-747-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W BELLWOOD LN",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841234494",
            "telephone_number": "801-747-7191",
            "fax_number": "801-747-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "STONG",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-747-7191",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "UT",
            "license": "7478838-1704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2100918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN CARE PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travis Jay Moss, M.D.
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• Amber D Mounday, MD
• Mountain Care DME LLC (Mountain Care DME)
• Mountain Mana Corp. (Synergy HomeCare of Alta)
• Mountain Medical Physician Specialists PC
• Mountain Paths Counseling LLC
• Mountain West Anesthesia LLC
• Mountain West Cardiovascular Associates (Heart Center)

• Long Term Care Pharmacy in Murray, UT
• Providers in Murray, UT by specialty
• Long Term Care Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.