Organization Active NPI

I2 Collaborative, LLC

Doing business as i2C

  • Pharmacist
  • South Jordan, UT
National Provider Identifier
1437860053
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
I2 COLLABORATIVE, LLC
Doing business as
i2C
Practice address
406 W South Jordan Pkwy Ste 450
South Jordan, UT 84095-3946
Phone
(801) 919-3008
NPI assigned
Dec 6, 2022
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Gregory Baird, MDNPI 1902148133
Title
Member/Manager
Phone
(801) 919-3008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

406 W South Jordan Pkwy Ste 450
South Jordan, UT 84095-3946

Mailing address

PO Box 550
Riverton, UT 84065-0550
Phone (801) 919-3008

Other names 1

  • i2C Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1437860053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840650550",
            "telephone_number": "801-919-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W SOUTH JORDAN PKWY STE 450",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953946",
            "telephone_number": "801-919-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I2 COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "801-919-3008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "i2C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "i2C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.