Bryan Christensen

Primary specialty

PharmacyTaxonomy code 333600000X

License

150182-1701 Issued in UT

Practice address

1634 W South Jordan Pkwy
South Jordan, UT 84095-4562

Phone

(801) 254-0068

Fax

(801) 253-2561

NPI assigned

Oct 1, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smiths Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • South Jordan, UT
  • NPI 1932124567

  Pharmacy

  NPD (past)

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1386285294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11548 S WATERSIDE RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957937",
            "telephone_number": "801-440-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 W SOUTH JORDAN PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954562",
            "telephone_number": "801-254-0068",
            "fax_number": "801-253-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "BRYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "150182-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bryan.christensen@stores.sfdc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1634 W South Jordan Pkwy",
            "city": "South Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840954562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bryan.christensen@stores.sfdc.com",
            "affiliation": "N",
            "endpointDescription": "Smiths email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1634 W South Jordan Pkwy",
            "city": "South Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840954562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul Lorin Child Jr., DMD, CDT
• Heidi Childs
• April Chlarson, LCSW
• Choice Care Clinic of Utah, Inc.
• Christensen Orthodontics LLC
• Corey Christensen, CMHC
• Haley Christensen
• Kellie Christensen, M.S. CCC-SLP
• Krystal Christensen, LMT, MLD-C
• Kyle S Christensen, D.D.S.

• All providers in South Jordan, UT
• Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.