NPIMap

Organization Active NPI

Medquest Pharmacy

  • Compounding Pharmacy
  • North Salt Lake, UT
National Provider Identifier
1356601108
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
5872299-1703 Issued in UT
Legal business name
MEDQUEST PHARMACY
Practice address
669 W 900 N
North Salt Lake, UT 84054-2602
Phone
(801) 294-1400
NPI assigned
May 25, 2012
Last updated
May 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Mr. Kyle Anderson
Title
Compliance Officer
Phone
(801) 294-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 5872299-1703 UT Primary

Addresses

Primary practice location

669 W 900 N
North Salt Lake, UT 84054-2602

Mailing address

669 W 900 N
North Salt Lake, UT 84054-2602

National Provider Directory

National Provider Directory
Tax ID family
Med Quest Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 12

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": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1356601108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 W 900 N",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 W 900 N",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542602",
            "telephone_number": "801-294-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDQUEST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "801-294-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "UT",
            "license": "5872299-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.