NPIMap

Organization Active NPI

University of Utah

  • Community/Retail Pharmacy
  • Salt Lake City, UT
National Provider Identifier
1487743076
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
57847791703 Issued in UT
Legal business name
UNIVERSITY OF UTAH
Practice address
200 S Central Campus Dr
Room 156
Salt Lake City, UT 84112-9149
Phone
(801) 587-3363
Fax
(801) 236-8043
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Michael Kelly
Title
Pharmacy Administrator
Phone
(801) 587-6325

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 57847791703 UT Primary

Addresses

Primary practice location

200 S Central Campus Dr
Room 156
Salt Lake City, UT 84112-9149

Mailing address

PO Box 511124
Salt Lake City, UT 84151-1124
Phone (801) 587-6325

Other identifiers 1

IdentifierTypeStateIssuer
4610297OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • UNIVERSITY OF UTAH UNION PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bruce D Etringer PHD54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

200 S Central Campus Dr
Rm 156
Salt Lake City, UT 84112
Phone (801) 587-3363

Practitioners & affiliated clinicians

Practitioners 2

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1487743076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511124",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841511124",
            "telephone_number": "801-587-6325",
            "fax_number": "801-236-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CENTRAL CAMPUS DR",
            "address_2": "ROOM 156",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841129149",
            "telephone_number": "801-587-3363",
            "fax_number": "801-236-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACY ADMINISTRATOR",
        "authorized_official_telephone_number": "801-587-6325"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "57847791703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4610297",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY OF UTAH UNION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 6, 2009; 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.