Kyle Northrup Cornish, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

7120852-1701 Issued in UT

Practice address

2576 S Highway 89
Woods Cross, UT 84010-7738

Phone

(801) 335-3610

Fax

(801) 335-3616

NPI assigned

Aug 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Woods Cross, UT
  • NPI 1851605760
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1407467046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2576 S HIGHWAY 89",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840107738",
            "telephone_number": "801-335-3610",
            "fax_number": "801-335-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2576 S HIGHWAY 89",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840107738",
            "telephone_number": "801-335-3610",
            "fax_number": "801-335-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNISH",
        "first_name": "KYLE",
        "middle_name": "NORTHRUP",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7120852-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qrystel Clages, CMHC
• Classic Air Care Inc
• Shannon L Compton, FNP
• Kurtis Lee Cook, LMT
• Rachelle Cornell, MOT
• Brian Curtis, PH.D.
• Mark Dale, LCSW
• Chelsea Michelle Dearing, APRN
• Jennifer Devlin, AMFT
• Eclipse Mobility, LLC

• Pharmacist in Woods Cross, UT
• Providers in Woods Cross, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.