Active NPI
Todd L Sondrup, R.PH.
- Pharmacist
- Salt Lake City, UT
National Provider Identifier
1396767679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 131307-1701
- Practice address
- 1060 E 100 S
Suite L2
Salt Lake City, UT 84102-1675 - Phone
- (801) 539-0231
- Fax
- (801) 539-0350
- NPI assigned
- Jul 24, 2006
- Last updated
- Mar 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 131307-1701 | UT | Primary |
Addresses
Primary practice location
1060 E 100 S
Suite L2
Salt Lake City, UT 84102-1675
Mailing address
1369 S 900 E
Salt Lake City, UT 84105-2301
Phone (801) 599-0411
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131307-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Plaza Pharmacy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1396767679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1369 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841052301",
"telephone_number": "801-599-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 E 100 S",
"address_2": "SUITE L2",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021675",
"telephone_number": "801-539-0231",
"fax_number": "801-539-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONDRUP",
"first_name": "TODD",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "131307-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.