Active NPI
Successware LLC
- Community/Retail Pharmacy
- Park City, UT
National Provider Identifier
1346699030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.