Active NPI
James Ryan Palmer, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Blanding, UT
National Provider Identifier
1477057305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 8747840-1701
- Practice address
- 802 S 200 W
Blanding, UT 84511-3910 - Phone
- (435) 767-0517
- NPI assigned
- Mar 23, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 8747840-1701 | UT | Primary |
Addresses
Primary practice location
802 S 200 W
Blanding, UT 84511-3910
Mailing address
802 S 200 W
Blanding, UT 84511-3910
Phone (435) 767-0517
Other practice location 1
30 W Medical Dr
Oljato-Monument Valley, UT 84536
Phone (435) 727-3000
Other practice location 2
UT-262, Montezuma Creek
Montezuma Creek, UT 84534
Phone (435) 651-3291
Other practice location 3
802 S 200 W
Blanding, UT 84511-3910
Phone (435) 678-0732
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 |
|---|---|---|---|
| 8747840-1701 | UT | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1477057305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 S 200 W",
"city": "BLANDING",
"state": "UT",
"postal_code": "845113910",
"telephone_number": "435-767-0517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 S 200 W",
"city": "BLANDING",
"state": "UT",
"postal_code": "845113910",
"telephone_number": "435-767-0517"
}
],
"practiceLocations": [
{
"address_1": "30 W Medical Dr",
"address_purpose": "LOCATION",
"city": "Oljato-Monument Valley",
"state": "UT",
"postal_code": "84536",
"country_code": "US",
"telephone_number": "435-727-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "UT-262, Montezuma Creek",
"address_purpose": "LOCATION",
"city": "Montezuma Creek",
"state": "UT",
"postal_code": "84534",
"country_code": "US",
"telephone_number": "435-651-3291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "802 S 200 W",
"address_purpose": "LOCATION",
"city": "Blanding",
"state": "UT",
"postal_code": "845113910",
"country_code": "US",
"telephone_number": "435-678-0732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "JAMES",
"middle_name": "RYAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-23",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "UT",
"license": "8747840-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blanding, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.