Individual provider Active NPI

Scott Lee Broschinsky, RPH

  • Pharmacist
  • West Valley, UT
National Provider Identifier
1437583994
Registry record updated Sep 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
145556-1701 Issued in UT
Practice address
3330 S 5600 W
West Valley, UT 84120-1318
Phone
(801) 966-0282
NPI assigned
Sep 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 145556-1701 UT Primary

Addresses

Primary practice location

3330 S 5600 W
West Valley, UT 84120-1318

Mailing address

3348 W Hearthstone Dr
South Jordan, UT 84095-2819
Phone (801) 707-2355

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

LicenseStateTypeSpecialty
145556-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378080000000",
    "number": "1437583994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 W HEARTHSTONE DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952819",
            "telephone_number": "801-707-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S 5600 W",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841201318",
            "telephone_number": "801-966-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSCHINSKY",
        "first_name": "SCOTT",
        "middle_name": "LEE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-02",
        "last_updated": "2013-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "145556-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; 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.