Organization Active NPI

Lion Pride Pharmacy and Wellness

  • Community/Retail Pharmacy
  • St George, UT
National Provider Identifier
1295483782
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.