Active NPI
Roger E Test, PHARM.D.
- Pharmacist
- Salt Lake City, UT
National Provider Identifier
1447520614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 327425-1701
- Practice address
- 909 E 2100 S
Salt Lake City, UT 84106-2321 - Phone
- (801) 463-4870
- NPI assigned
- Jan 5, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 327425-1701 | UT | Primary |
| Pharmacist | 183500000X | 18573 | TX | |
| Pharmacist | 183500000X | 13655 | CO |
Addresses
Primary practice location
909 E 2100 S
Salt Lake City, UT 84106-2321
Mailing address
PO Box 980730
Park City, UT 84098-0730
Phone (435) 785-8365
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13655 | CO | MD | Pharmacist |
| 18573 | TX | MD | Pharmacist |
| 327425-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1447520614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980730",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840980730",
"telephone_number": "435-785-8365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 E 2100 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841062321",
"telephone_number": "801-463-4870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEST",
"first_name": "ROGER",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-05",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "327425-1701",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "18573",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "13655",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.