Active NPI
Lion Pride Pharmacy and Wellness
- Community/Retail Pharmacy
- St George, UT
National Provider Identifier
1295483782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LION PRIDE PHARMACY AND WELLNESS
- Practice address
- 163 W 1600 S Ste 3
Saint George, UT 84770-6715 - Phone
- (435) 628-2066
- Fax
- (435) 623-2887
- NPI assigned
- Mar 14, 2022
- Last updated
- Mar 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Micah Kealoha Harward, PHARMD
- Title
- Member/ Pharmaist in Charge
- Phone
- (435) 628-2066
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Mail Order Pharmacy | 3336M0002X | |||
| Specialty Pharmacy | 3336S0011X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Medical Foods Supplier | 335G00000X |
Addresses
Primary practice location
163 W 1600 S Ste 3
Saint George, UT 84770-6715
Mailing address
163 W 1600 S Ste 3
Saint George, UT 84770-6715
Phone (435) 628-2066
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1295483782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 W 1600 S STE 3",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847706715",
"telephone_number": "435-628-2066",
"fax_number": "435-623-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 W 1600 S STE 3",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847706715",
"telephone_number": "435-628-2066",
"fax_number": "435-623-2887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LION PRIDE PHARMACY AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-11",
"status": "A",
"authorized_official_last_name": "HARWARD",
"authorized_official_first_name": "MICAH",
"authorized_official_middle_name": "KEALOHA",
"authorized_official_title_or_position": "MEMBER/ PHARMAIST IN CHARGE",
"authorized_official_telephone_number": "435-628-2066",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "335G00000X",
"taxonomy_group": "",
"desc": "Medical Foods Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.