Active NPI
Matthew Egan, PHARMD
- Pharmacist
- Ogden, UT
National Provider Identifier
1225599665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6729806
- Practice address
- 1485 Harrison Blvd
Ogden, UT 84404-6093 - Phone
- (801) 621-0211
- Fax
- (801) 394-6370
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6729806 | UT | Primary |
Addresses
Primary practice location
1485 Harrison Blvd
Ogden, UT 84404-6093
Mailing address
1485 Harrison Blvd
Ogden, UT 84404-6093
Phone (801) 621-0211
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 |
|---|---|---|---|
| 6729806 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith'S Food & Drug Centers Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Ogden, UT
- NPI 1942225578
-
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1225599665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844046093",
"telephone_number": "801-621-0211",
"fax_number": "801-394-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844046093",
"telephone_number": "801-621-0211",
"fax_number": "801-394-6370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "6729806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.