Active NPI
Terrace Pharmacy
- Community/Retail Pharmacy
- Ogden, UT
National Provider Identifier
1295829976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 7872230-8913
- Legal business name
- TERRACE PHARMACY
- Practice address
- 5167 Adams Ave
#B
Ogden, UT 84405-4522 - Phone
- (801) 479-9645
- Fax
- (801) 475-6404
- NPI assigned
- Oct 3, 2006
- 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
- Alan V Winter
- Title
- Owner/Pharmacist
- Phone
- (801) 479-9645
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 7572230-1703 | UT | |
| Community/Retail Pharmacy | 3336C0003X | 7872230-8913 | UT | Primary |
Addresses
Primary practice location
5167 Adams Ave
#B
Ogden, UT 84405-4522
Mailing address
5167 Adams Ave
#B
Ogden, UT 84405-4522
Phone (801) 479-9645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528962785009 | Medicaid | UT |
National Provider Directory
National Provider DirectoryLocations
5167 Adams Ave
Ste B
Ogden, UT 84405
Phone (801) 479-9645
5167 Adams Ave
#B
Ogden, UT 84405
Phone (801) 479-9645
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Ogden, UT
- NPI 1184795601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272844800000",
"number": "1295829976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5167 ADAMS AVE",
"address_2": "#B",
"city": "OGDEN",
"state": "UT",
"postal_code": "844054522",
"telephone_number": "801-479-9645",
"fax_number": "801-475-6404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5167 ADAMS AVE",
"address_2": "#B",
"city": "OGDEN",
"state": "UT",
"postal_code": "844054522",
"telephone_number": "801-479-9645",
"fax_number": "801-475-6404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRACE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2010-05-03",
"status": "A",
"authorized_official_last_name": "WINTER",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "801-479-9645"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "UT",
"license": "7572230-1703",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "UT",
"license": "7872230-8913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528962785009",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.