Active NPI
Dale Brown, RPH
- Pharmacist
- North Ogden, UT
National Provider Identifier
1487934758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 290502-1701
- Practice address
- 1100 W 2700 N
North Ogden, UT 84404-4791 - Phone
- (801) 475-3695
- NPI assigned
- Aug 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 183500000X | 290502-1701 | UT | Primary |
Addresses
Primary practice location
1100 W 2700 N
North Ogden, UT 84404-4791
Mailing address
1100 W 2700 N
Pleasant View, UT 84404-4791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290502-1701 | Other | UT | STATE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290502-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1487934758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W 2700 N",
"city": "PLEASANT VIEW",
"state": "UT",
"postal_code": "844044791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W 2700 N",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844044791",
"telephone_number": "801-475-3695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DALE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-18",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "290502-1701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "290502-1701",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.