Active NPI
Clayton James Grace, RPH
- Pharmacist
- American Fork, UT
National Provider Identifier
1275752446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 349338-1701
- Practice address
- 76 N 1100 E
American Fork, UT 84003-2952 - Phone
- (801) 756-4021
- Fax
- (801) 756-1181
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- 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 | 349338-1701 | UT | Primary |
Addresses
Primary practice location
76 N 1100 E
American Fork, UT 84003-2952
Mailing address
1410 N 780 W
Lehi, UT 84043-2319
Phone (801) 768-2002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 349338-8911 | Other | UT | PHARMACIST CONTROLLED SUB |
| 349338-1701 | Other | UT | PHARMACIST |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349338-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275752446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 N 780 W",
"city": "LEHI",
"state": "UT",
"postal_code": "840432319",
"telephone_number": "801-768-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 N 1100 E",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032952",
"telephone_number": "801-756-4021",
"fax_number": "801-756-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "CLAYTON",
"middle_name": "JAMES",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "349338-1701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST CONTROLLED SUB",
"identifier": "349338-8911",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "349338-1701",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.