Organization Active NPI

Reams Springville Pharmacy LLC

  • Community/Retail Pharmacy
  • Springville, UT
National Provider Identifier
1467810093
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9687065-1703 Issued in UT
Legal business name
REAMS SPRINGVILLE PHARMACY LLC
Doing business as
Springville Reams Pharmacy
Practice address
759 E 400 S
Springville, UT 84663-2014
Phone
(801) 489-3784
NPI assigned
Feb 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Mary Kaye Spencer
Title
Owner
Phone
(801) 489-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 9687065-1703 UT Primary

Addresses

Primary practice location

759 E 400 S
Springville, UT 84663-2014

Mailing address

759 E 400 S
Springville, UT 84663-2014

Other names 1

  • Springville Reams Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170816002538 UT Part B Supplier - Mass Immunization (Roster Biller Only) 3971875550 Practice locations: Springville, UT

National Provider Directory

National Provider Directory

Locations

759 E 400 S
Springville, UT 84663
Phone (801) 489-3784

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1467810093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632014",
            "telephone_number": "801-489-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAMS SPRINGVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "MARY KAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-489-3784"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "9687065-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springville Reams Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.