Active NPI
Elizabeth Paschen
- Pharmacist
- Centerville, UT
National Provider Identifier
1376213819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11343800-1701
- Practice address
- 315 E 1050 S
Centerville, UT 84014-2379 - Phone
- (618) 553-6615
- NPI assigned
- Sep 16, 2021
- Last updated
- Sep 16, 2021
- 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 | 11343800-1701 | UT | Primary |
Addresses
Primary practice location
315 E 1050 S
Centerville, UT 84014-2379
Mailing address
315 E 1050 S
Centerville, UT 84014-2379
Phone (618) 553-6615
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 |
|---|---|---|---|
| 11343800-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1376213819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E 1050 S",
"city": "CENTERVILLE",
"state": "UT",
"postal_code": "840142379",
"telephone_number": "618-553-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E 1050 S",
"city": "CENTERVILLE",
"state": "UT",
"postal_code": "840142379",
"telephone_number": "618-553-6615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCHEN",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "11343800-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.