LSJ Family Drug Dba LSJ United Drug

Primary specialty

PharmacistTaxonomy code 183500000X

License

1319181701 Issued in UT

Legal business name

LSJ FAMILY DRUG DBA LSJ UNITED DRUG

Doing business as

LSJ United Drug

Practice address

1280 West Utah Avenue
Hildale, UT 84784-1429

Phone

(435) 874-1415

Fax

(435) 874-1417

NPI assigned

Nov 16, 2006

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph G Johnson, RPH

Title

Owner

Phone

(435) 874-1415

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LSJ United Drug Doing business as

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1447323357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841429",
            "address_2": "1280 WEST UTAH AVENUE",
            "city": "HILDALE",
            "state": "UT",
            "postal_code": "847841429",
            "telephone_number": "435-874-1415",
            "fax_number": "435-874-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 WEST UTAH AVENUE",
            "city": "HILDALE",
            "state": "UT",
            "postal_code": "847841429",
            "telephone_number": "435-874-1415",
            "fax_number": "435-874-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSJ FAMILY DRUG DBA LSJ UNITED DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-874-1415",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "1319181701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4610196",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSJ United Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Hildale, UT
• Providers in Hildale, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.