Active NPI
Victoria McDonald, PHARMD
- Pharmacist
- West Valley City, UT
National Provider Identifier
1215530134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6077794-1701
- Practice address
- 3490 S 4400 W Ste 702003
West Valley City, UT 84120-1828 - Phone
- (385) 424-0549
- NPI assigned
- Nov 21, 2020
- Last updated
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202211583 | VA | |
| Pharmacist | 183500000X | P9853 | ID | |
| Pharmacist | 183500000X | 6077794-1701 | UT | Primary |
Addresses
Primary practice location
3490 S 4400 W Ste 702003
West Valley City, UT 84120-1828
Mailing address
3490 S 4400 W Ste 702003
West Valley City, UT 84120-1828
Other names 1
- Victoria Reichert
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P9853 | ID | MD | Pharmacist |
| 6077794-1701 | UT | MD | Pharmacist |
| 0202211583 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah CVS Pharmacy LLC | Past | Accepting new patients | |
| Utah CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1215530134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3490 S 4400 W STE 702003",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841201828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3490 S 4400 W STE 702003",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841201828",
"telephone_number": "385-424-0549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-21",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202211583",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P9853",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "6077794-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "REICHERT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.