Individual provider Active NPI

Victoria McDonald, PHARMD

  • Pharmacist
  • West Valley City, UT
National Provider Identifier
1215530134
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6077794-1701 Issued in UT
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
P9853IDMDPharmacist
6077794-1701UTMDPharmacist
0202211583VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Utah CVS Pharmacy LLC PastSince Nov 1, 2020 Accepting new patients
Utah CVS Pharmacy LLC PastSince Nov 1, 2020 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.

Verify at the official NPI Registry.