NPIMap

Organization Active NPI

Mount Olympus Compounding LLC

  • Compounding Pharmacy
  • Draper, UT
National Provider Identifier
1366748238
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
87645041703 Issued in UT
Legal business name
MOUNT OLYMPUS COMPOUNDING LLC
Practice address
392 E 12300 S
Suite a
Draper, UT 84020-8181
Phone
(801) 278-9008
Fax
(801) 849-0399
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Mrs. Angie Kilpatrick
Title
Manager, LLC
Phone
(801) 824-6968

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 87645041703 UT
Compounding Pharmacy 3336C0004X 87645041703 UT Primary

Addresses

Primary practice location

392 E 12300 S
Suite a
Draper, UT 84020-8181

Mailing address

PO Box 1344
Draper, UT 84020-1344

Other identifiers 1

IdentifierTypeStateIssuer
4611960OtherNCPDP

Other names 1

  • Mt. Olympus Compounding Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1366748238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1344",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840201344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 E 12300 S",
            "address_2": "SUITE A",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208181",
            "telephone_number": "801-278-9008",
            "fax_number": "801-849-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT OLYMPUS COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "MANAGER, LLC",
        "authorized_official_telephone_number": "801-824-6968",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "87645041703",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "UT",
            "license": "87645041703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4611960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Olympus Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.