Active NPI
Elizabeth Terry Warner, RPH
- Pharmacist
- Ogden, UT
National Provider Identifier
1295957520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00014676
- Practice address
- 4401 Harrison Blvd
Ogden, UT 84403 - Phone
- (801) 387-2800
- NPI assigned
- May 3, 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 | PH00014676 | WA | Primary |
Addresses
Primary practice location
4401 Harrison Blvd
Ogden, UT 84403
Mailing address
4314 Sunrise Dr
Eden, UT 84310
Phone (253) 370-4060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H00014676 | Other | WA | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| PH00014676 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1295957520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4314 SUNRISE DR",
"city": "EDEN",
"state": "UT",
"postal_code": "84310",
"telephone_number": "253-370-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "84403",
"telephone_number": "801-387-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "ELIZABETH",
"middle_name": "TERRY",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00014676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "H00014676",
"state": "WA"
}
],
"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 Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.