Active NPI
Kristen Sobotka Hausskuper
- Pharmacist
- Murray, UT
National Provider Identifier
1407405053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7150373-1701
- Practice address
- 6056 S Fashion Square Dr Ste 1000
Murray, UT 84107-5410 - Phone
- (801) 213-8650
- NPI assigned
- Sep 6, 2019
- 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 | 7150373-1701 | UT | Primary |
Addresses
Primary practice location
6056 S Fashion Square Dr Ste 1000
Murray, UT 84107-5410
Mailing address
3146 E Delsa Dr
Holladay, UT 84124-2132
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 |
|---|---|---|---|
| 7150373-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1407405053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3146 E DELSA DR",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841242132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6056 S FASHION SQUARE DR STE 1000",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075410",
"telephone_number": "801-213-8650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBOTKA HAUSSKUPER",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "7150373-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.