Individual provider Active NPI

Charles Oaxaca Hall, PHARMD

  • Oncology Pharmacist
  • Salt Lake City, UT
National Provider Identifier
1346077906
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
376949-1701 Issued in UT
Practice address
1890 S 3850 W Ste 220
Salt Lake City, UT 84104-4939
Phone
(385) 549-1121
Fax
(855) 571-3472
NPI assigned
Sep 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Pharmacist 1835X0200X 376949-1701 UT Primary
Pharmacotherapy Pharmacist 1835P1200X 376949-1701 UT

Addresses

Primary practice location

1890 S 3850 W Ste 220
Salt Lake City, UT 84104-4939

Mailing address

2558 E Simpson Ave
Salt Lake City, UT 84109-1339
Phone (801) 604-8736

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
376949-1701UTMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Integrated Pharmacy Operations CurrentSince Sep 23, 2024 Accepting new patients

Locations

1890 S 3850 W
Ste 220
Salt Lake City, UT 84104
Phone (385) 549-1121

Organizations & group practices 1

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": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346077906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 E SIMPSON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841091339",
            "telephone_number": "801-604-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S 3850 W STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841044939",
            "telephone_number": "385-549-1121",
            "fax_number": "855-571-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHARLES",
        "middle_name": "OAXACA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-17",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "UT",
            "license": "376949-1701",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "UT",
            "license": "376949-1701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.