SBB Pharmaceutical LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SBB PHARMACEUTICAL LLC

Doing business as

Birch Family Pharmacy

Practice address

213 E Main St
Grantsville, UT 84029-9029

Phone

(435) 884-9990

Fax

(435) 884-6997

NPI assigned

Jan 27, 2011

Organization subpart

No

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

Authorized official

Name

Sheldon Birch

Title

Owner

Phone

(435) 882-7775

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Birch Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1245536051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4776 AUTUMN CV",
            "city": "ERDA",
            "state": "UT",
            "postal_code": "840745548",
            "telephone_number": "435-884-9990",
            "fax_number": "435-884-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E MAIN ST",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840299029",
            "telephone_number": "435-884-9990",
            "fax_number": "435-884-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBB PHARMACEUTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-882-7775"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "7907135-1703",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245536051",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birch Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Birch Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Grantsville, UT
• Providers in Grantsville, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.