Organization Active NPI

Successware LLC

  • Community/Retail Pharmacy
  • Park City, UT
National Provider Identifier
1346699030
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUCCESSWARE LLC
Doing business as
The Pharmacie
Practice address
1890 Bonanza Dr
Suite 107
Park City, UT 84060
Phone
(435) 776-7525
NPI assigned
Jun 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Mr. Alexande McDaniel
Title
Compliance Officer
Phone
(732) 919-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1890 Bonanza Dr
Suite 107
Park City, UT 84060

Mailing address

1710 Highway 34
Wall Township, NJ 07727-3906

Other names 1

  • The Pharmacie Doing business as

National Provider Directory

National Provider Directory

Locations

1710 Highway 34
Wall Township, NJ 07727
Phone (732) 919-1234

1890 Bonanza Dr
Ste 107
Park City, UT 84060
Phone (435) 776-7525

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1346699030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HIGHWAY 34",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077273906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 BONANZA DR",
            "address_2": "SUITE 107",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84060",
            "telephone_number": "435-776-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSWARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "ALEXANDE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "732-919-1234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pharmacie",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pharmacie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.