Organization Active NPI

KTM Pharmacy

  • Pharmacy
  • St George, UT
National Provider Identifier
1376264432
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
KTM PHARMACY
Practice address
1483 E 3850 S Unit B
St George, UT 84790-6233
Phone
(435) 628-0842
Fax
(435) 628-0682
NPI assigned
Sep 7, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Kenny Jones, PHARMD
Title
Pharmacist/Owner
Phone
(435) 817-5559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

1483 E 3850 S Unit B
St George, UT 84790-6233

Mailing address

2564 E Mountain Ledge Cir
St George, UT 84790-5052
Phone (435) 817-5559

National Provider Directory

National Provider Directory

Locations

1483 E 3850 S
#B
St George, UT 84790
Phone (435) 628-0842

Practitioners & affiliated clinicians

Practitioners 1

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": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1376264432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 E MOUNTAIN LEDGE CIR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905052",
            "telephone_number": "435-817-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 E 3850 S UNIT B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906233",
            "telephone_number": "435-628-0842",
            "fax_number": "435-628-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "435-817-5559",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.