Kwik Stop Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

321208-1703 Issued in UT

Legal business name

KWIK STOP DRUG

Practice address

325 36TH St
Ogden, UT 84405-1623

Phone

(801) 399-5866

Fax

(801) 621-4791

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Terry Van Vleet

Title

Owner and President

Phone

(801) 399-5866

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• KWIK STOP DRUG Doing business as

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1295765204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 36TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844051623",
            "telephone_number": "801-399-5866",
            "fax_number": "801-621-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 36TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844051623",
            "telephone_number": "801-399-5866",
            "fax_number": "801-621-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWIK STOP DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "VAN VLEET",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "801-399-5866"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "321208-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4600450",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KWIK STOP DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• KT&T Ventures, LLC
• KT&T Venures
• KT&T, Inc.
• Sean Kuehn, MD
• Trisha Kunzler
• L. Clifford Goff DDS
• L. Clifford Goff DDS
• Anne Ellen Lachmar
• Takada Lafollette
• Kimberly Lahman

• Community/Retail Pharmacy in Ogden, UT
• Providers in Ogden, 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 5, 2010; 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.