Salt Lake City Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SALT LAKE CITY PHARMACY LLC

Practice address

6826 S Highland Dr
Cottonwood Heights, UT 84121-3021

Phone

(801) 783-8025

Fax

(801) 733-9998

NPI assigned

Oct 22, 2018

Last updated

Oct 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Walker Bateman

Title

VP

Phone

(801) 783-8025

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1265908719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6826 S HIGHLAND DR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213021",
            "telephone_number": "801-783-8025",
            "fax_number": "801-733-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6826 S HIGHLAND DR",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213021",
            "telephone_number": "801-783-8025",
            "fax_number": "801-733-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE CITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "BATEMAN",
        "authorized_official_first_name": "WALKER",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "801-783-8025"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Laura Emma Russell
• Lauren Ryan
• Ximena Saavedra Gopar
• Danetta Sabin
• Alecia Sage
• Salt Lake City VA Health Care System
• Kaliope Sargetakis
• Taylor Saxton
• Elaina Schmid
• Kari Jordan Schott

• Community/Retail Pharmacy in Cottonwood Heights, UT
• Providers in Cottonwood Heights, 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 Oct 22, 2018; 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.