Active NPI
Heather Phelps
- Pharmacist
- Payson, UT
National Provider Identifier
1366087470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 153840
- Practice address
- 632 S 100 W
Payson, UT 84651-2864 - Phone
- (801) 465-2591
- Fax
- (801) 465-5198
- NPI assigned
- Nov 12, 2019
- Last updated
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 153840 | UT | Primary |
Addresses
Primary practice location
632 S 100 W
Payson, UT 84651-2864
Mailing address
632 S 100 W
Payson, UT 84651-2864
Phone (801) 465-2591
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | EasyFill |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153840 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith's Food & Drug Centers Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Smiths Pharmacy #75
- Community/Retail Pharmacy
- Payson, UT
- NPI 1053336685
-
dba Smith's Pharmacy #303
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1366087470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 S 100 W",
"city": "PAYSON",
"state": "UT",
"postal_code": "846512864",
"telephone_number": "801-465-2591",
"fax_number": "801-465-5198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 S 100 W",
"city": "PAYSON",
"state": "UT",
"postal_code": "846512864",
"telephone_number": "801-465-2591",
"fax_number": "801-465-5198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "153840",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "EasyFill",
"affiliation": "N",
"address_1": "632 S 100 W",
"city": "Payson",
"state": "UT",
"country_code": "US",
"postal_code": "846512864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Payson, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.