Active NPI
Irvin Niels Nielsen, RPH
- Pharmacist
- Salt Lake City, UT
National Provider Identifier
1508053232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 143052
- Practice address
- Univ Hospital Pharmacy
50 North Medical Drive
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2147
- Fax
- (801) 585-0403
- NPI assigned
- Sep 26, 2007
- 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 | 183500000X | 143052 | UT | Primary |
Addresses
Primary practice location
Univ Hospital Pharmacy
50 North Medical Drive
Salt Lake City, UT 84132-0001
Mailing address
790 E 8080 S
Sandy, UT 84094-0633
Phone (801) 561-2308
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 |
|---|---|---|---|
| 143052 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1508053232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 E 8080 S",
"city": "SANDY",
"state": "UT",
"postal_code": "840940633",
"telephone_number": "801-561-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIV HOSPITAL PHARMACY",
"address_2": "50 NORTH MEDICAL DRIVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-581-2147",
"fax_number": "801-585-0403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "IRVIN",
"middle_name": "NIELS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "143052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.