Organization Active NPI

Snowbird Resort LLC

Doing business as Snowbird Pharmacy

  • Community/Retail Pharmacy
  • Snowbird, UT
National Provider Identifier
1235311176
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
90687691703 Issued in UT
Legal business name
SNOWBIRD RESORT LLC
Doing business as
Snowbird Pharmacy
Practice address
9385 S Snowbird Center Dr
Snowbird, UT 84092-6249
Phone
(801) 933-2275
Fax
(801) 933-2463
NPI assigned
Dec 3, 2007
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
William HogeNPI 1194853390
Title
RPH, Pic
Phone
(801) 933-2275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 90687691703 UT Primary

Addresses

Primary practice location

9385 S Snowbird Center Dr
Snowbird, UT 84092-6249

Mailing address

9385 S Snowbird Center Dr
Snowbird, UT 84092-6249
Phone (801) 933-2275

Other identifiers 1

IdentifierTypeStateIssuer
2147662OtherPK

Other names 1

  • Snowbird Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1235311176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9385 S SNOWBIRD CENTER DR",
            "city": "SNOWBIRD",
            "state": "UT",
            "postal_code": "840926249",
            "telephone_number": "801-933-2275",
            "fax_number": "801-933-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9385 S SNOWBIRD CENTER DR",
            "city": "SNOWBIRD",
            "state": "UT",
            "postal_code": "840926249",
            "telephone_number": "801-933-2275",
            "fax_number": "801-933-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOWBIRD RESORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "HOGE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "RPH, PIC",
        "authorized_official_telephone_number": "801-933-2275"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "90687691703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snowbird Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snowbird, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.