Active NPI
Rick Carlson, PHARMD, BCPS
- Pharmacist
- West Jordan, UT
National Provider Identifier
1497878367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 501060-1701
- Practice address
- 8721 S 4680 W
West Jordan, UT 84088-4923 - Phone
- (801) 349-0422
- Fax
- (801) 507-5578
- NPI assigned
- Apr 7, 2007
- 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 | 501060-1701 | UT | Primary |
Addresses
Primary practice location
8721 S 4680 W
West Jordan, UT 84088-4923
Mailing address
8721 S 4680 W
West Jordan, UT 84088-4923
Phone (801) 349-0422
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 |
|---|---|---|---|
| 501060-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333670400000",
"number": "1497878367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8721 S 4680 W",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840884923",
"telephone_number": "801-349-0422",
"fax_number": "801-507-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8721 S 4680 W",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840884923",
"telephone_number": "801-349-0422",
"fax_number": "801-507-5578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "RICK",
"name_prefix": "Dr.",
"credential": "PHARMD, BCPS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-07",
"last_updated": "2012-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "501060-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.