Individual provider Active NPI

Karalynne Michelle Thacker, RPH

  • Pharmacist
  • Tooele, UT
National Provider Identifier
1336785872
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7111262-1701 Issued in UT
Practice address
2483 N Main St
Tooele, UT 84074-3641
Phone
(435) 241-5145
Fax
(435) 248-0069
NPI assigned
Nov 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7111262-1701 UT Primary
Pharmacist 183500000X 19658 NV

Addresses

Primary practice location

2483 N Main St
Tooele, UT 84074-3641

Mailing address

5560 Lorraine Way
Stansbury Park, UT 84074-8100
Phone (801) 541-4851

Other identifiers 2

IdentifierTypeStateIssuer
19658OtherNVNEVADA PHARMACIST LICENSE
7111262-1701OtherUTUTAH 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

LicenseStateTypeSpecialty
19658NVMDPharmacist
7111262-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith'S Food & Drug Centers Inc PastSince Nov 24, 2019 Accepting new patients
Smiths Food & Drug Centers Inc PastSince Nov 24, 2019 Accepting new patients
Smiths Food & Drug Centers Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1336785872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 LORRAINE WAY",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840748100",
            "telephone_number": "801-541-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743641",
            "telephone_number": "435-241-5145",
            "fax_number": "435-248-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "KARALYNNE",
        "middle_name": "MICHELLE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7111262-1701",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "19658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA PHARMACIST LICENSE",
            "identifier": "19658",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH PHARMACIST LICENSE",
            "identifier": "7111262-1701",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.