NPIMap

Organization Active NPI

Utah Navajo Health System Incorporated

Doing business as Navajo Mountain Health Center Pharmacy

  • Community/Retail Pharmacy
  • Navajo Mountain, UT
National Provider Identifier
1508494428
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UTAH NAVAJO HEALTH SYSTEM INCORPORATED
Doing business as
Navajo Mountain Health Center Pharmacy
Practice address
#2 Rainbow Road
Navajo Mountain, UT 86044
Phone
(928) 672-2498
Fax
(928) 672-2839
NPI assigned
Mar 27, 2020
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
UTAH NAVAJO HEALTH SYSTEM INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Michael Jensen
Title
Ceo
Phone
(435) 651-3713

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

#2 Rainbow Road
Navajo Mountain, UT 86044

Mailing address

PO Box 130
Montezuma Creek, UT 84534-0130
Phone (435) 651-3700

Other names 1

  • Navajo Mountain Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Utah Navajo Health System Inc15 organizations share this tax ID, including this one
Part of
Utah Navajo Health System Inc

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1508494428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "MONTEZUMA CREEK",
            "state": "UT",
            "postal_code": "845340130",
            "telephone_number": "435-651-3700",
            "fax_number": "435-678-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#2 RAINBOW ROAD",
            "city": "NAVAJO MOUNTAIN",
            "state": "UT",
            "postal_code": "86044",
            "telephone_number": "928-672-2498",
            "fax_number": "928-672-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH NAVAJO HEALTH SYSTEM INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UTAH NAVAJO HEALTH SYSTEM INCORPORATED",
        "enumeration_date": "2020-03-27",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-651-3713"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Navajo Mountain Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Navajo Mountain Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Navajo Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.