Raelyn Neil Simmons

Primary specialty

PharmacistTaxonomy code 183500000X

License

7205984 Issued in UT

Practice address

1235 W State St
Hurricane, UT 84737-3539

Phone

(435) 635-1071

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Hurricane, UT
  • NPI 1780834374
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1235744178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 W STATE ST",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373539",
            "telephone_number": "435-635-1071",
            "fax_number": "435-635-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W STATE ST",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847373539",
            "telephone_number": "435-635-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "RAELYN",
        "middle_name": "NEIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7205984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis K Sanders, DC
• Alan Schmidt, DMD
• Jeremy Scholzen, DMD
• Malynda K Scott, ACMHC
• Calven Kreg Shackelford, PHARMD
• April Skeem, LPN, MSW, LCSW
• Ryan G Smith
• Tyler Dean Smith, DPT
• Solacium Sunrise, LLC
• Katie Ellen Soli, LMFT

• Pharmacist in Hurricane, UT
• Providers in Hurricane, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.