University Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

221240701703 Issued in UT

Legal business name

UNIVERSITY PHARMACY INC.

Practice address

1320 E 200 S
Salt Lake City, UT 84102-2604

Phone

(801) 582-7624

Fax

(801) 582-7633

NPI assigned

May 28, 2006

Last updated

Oct 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard E Rasmuson, R.PH.

Title

President

Phone

(801) 582-7624

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• University Pharmacy Other name

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl Thomas Hoffman III, PHARM D

  • Pharmacist
  • Salt Lake City, UT
  • NPI 1710293717
  NPD (past)
• Kacey Bryan Hutchinson, PHARMD

  • Pharmacist
  • Salt Lake City, UT
  • NPI 1184335697
  NPD (past)
• Nikki Milne, PHARMD

  • Pharmacist
  • Salt Lake City, UT
  • NPI 1669788675
  NPD (past)
• Liang Yan, PHARMACIST

  • Pharmacist
  • Boise, ID
  • NPI 1831779594
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1316994015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 E 200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022604",
            "telephone_number": "801-582-7624",
            "fax_number": "801-582-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E 200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022604",
            "telephone_number": "801-582-7624",
            "fax_number": "801-582-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "RASMUSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-582-7624",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "221240701703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870328034005",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN FOR PART B",
            "identifier": "U000072095",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "University Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Retail Pharmacy in Salt Lake City, UT
• Providers in Salt Lake City, 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 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.