Active NPI
Lisa Dimick, RPH.
- Pharmacist
- Sandy, UT
National Provider Identifier
1285842773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1538811701
- Practice address
- 9826 S Jordan Gtwy
Sandy, UT 84070-9509 - Phone
- (801) 262-6601
- Fax
- (801) 561-5115
- NPI assigned
- May 18, 2007
- Sex
- Female
- 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 | 1538811701 | UT | Primary |
Addresses
Primary practice location
9826 S Jordan Gtwy
Sandy, UT 84070-9509
Mailing address
2312 Autumn Farm Dr
South Jordan, UT 84095-8460
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 |
|---|---|---|---|
| 1538811701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upscript Pharmacy, LLC | Current | Accepting new patients |
Locations
9826 S Jordan Gtwy
Sandy, UT 84070
Phone (801) 262-6601
Organizations & group practices 1
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.
-
- Mail Order Pharmacy
- Sandy, UT
- NPI 1477898419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1285842773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 AUTUMN FARM DR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9826 S JORDAN GTWY",
"city": "SANDY",
"state": "UT",
"postal_code": "840709509",
"telephone_number": "801-262-6601",
"fax_number": "801-561-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMICK",
"first_name": "LISA",
"name_prefix": "Mrs.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "1538811701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.