Active NPI
Paula Michelle Geddes, PHARMD
- Pharmacist
- Sandy, UT
National Provider Identifier
1225658255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5352246
- Practice address
- 8074 S 1300 E
Sandy, UT 84094-0743 - Phone
- (801) 561-3400
- NPI assigned
- Apr 20, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5352246 | UT | Primary |
Addresses
Primary practice location
8074 S 1300 E
Sandy, UT 84094-0743
Mailing address
179 Eugene St
North Salt Lake, UT 84054-1764
Phone (801) 809-5305
Other practice location 1
402 E 6th Ave
Salt Lake City, UT 84103-3377
Phone (801) 355-4617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1835P0018X | Medicaid | UT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | paula.wood@encompasshealth.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 5352246 | 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
- Salt Lake City, UT
- NPI 1598780124
-
- 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": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1225658255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 EUGENE ST",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840541764",
"telephone_number": "801-809-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8074 S 1300 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840940743",
"telephone_number": "801-561-3400"
}
],
"practiceLocations": [
{
"address_1": "402 E 6th Ave",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841033377",
"country_code": "US",
"telephone_number": "801-355-4617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEDDES",
"first_name": "PAULA",
"middle_name": "MICHELLE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-20",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "5352246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1835P0018X",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "paula.wood@encompasshealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8074 S 1300 E",
"city": "Sandy",
"state": "UT",
"country_code": "US",
"postal_code": "840940743",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.