Warren RX Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7214363-1703 Issued in UT

Legal business name

WARREN RX ENTERPRISES INC

Practice address

865 N 980 W
Orem, UT 84057-7710

Phone

(801) 735-2003

Fax

(801) 225-2388

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Gary NakkenNPI 1811388705

Title

President

Phone

(801) 225-2150

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SALMON PHARMACY Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Nakken

  • Pharmacist
  • Orem, UT
  • NPI 1811388705
  NPD Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1205977162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 N 980 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840577710",
            "telephone_number": "801-225-2150",
            "fax_number": "801-225-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 N 980 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840577710",
            "telephone_number": "801-735-2003",
            "fax_number": "801-225-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN RX ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "NAKKEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-225-2150"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "7214363-1703",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205977162",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2106868",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "salmonspharmacy@live.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "865 N 980 W",
            "city": "Orem",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840577710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SALMON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SALMON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Wardle
• Kelly D Warner
• Simon Phillip Warner
• Connie Louise Warr, FNP
• Warren a Peterson, D.O.
• Dawn Raine Wartz
• Wasatch Behavioral Health Special Service District
• Wasatch Foot and Ankle Specialists LLC
• Wasatch Medical Center
• Wasatch Mental Health

• All providers in Orem, UT
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.