NPIMap

Organization Active NPI

Service Drug Company Inc

Doing business as Service Drug LTC

  • Long Term Care Pharmacy
  • Delta, UT
National Provider Identifier
1326740705
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SERVICE DRUG COMPANY INC
Doing business as
Service Drug LTC
Practice address
215 W Main St
Delta, UT 84624-9257
Phone
(435) 864-2545
Fax
(435) 864-5925
NPI assigned
Mar 20, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Roger E Killpack, RPHNPI 1902958952
Title
President
Phone
(435) 864-2545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

215 W Main St
Delta, UT 84624-9257

Mailing address

215 W Main St
Delta, UT 84624-9257
Phone (435) 864-2545

Other names 1

  • Service Drug LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Service Drug Company Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1326740705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W MAIN ST",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846249257",
            "telephone_number": "435-864-2545",
            "fax_number": "435-864-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MAIN ST",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846249257",
            "telephone_number": "435-864-2545",
            "fax_number": "435-864-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "KILLPACK",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-864-2545",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Service Drug LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delta, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.