NPIMap

Organization Active NPI

Midtown Community Health Center Inc

Doing business as Pharmacy South Salt Lake

  • Community/Retail Pharmacy
  • South Salt Lake, UT
National Provider Identifier
1508649567
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MIDTOWN COMMUNITY HEALTH CENTER INC
Doing business as
Pharmacy South Salt Lake
Practice address
60 E 3750 S
South Salt Lake, UT 84115-4428
Phone
(801) 262-3315
Fax
(801) 262-3595
NPI assigned
Aug 15, 2023
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Sonja M Levesque
Title
Cfo
Phone
(801) 334-1327

Specialties & licenses 1

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

Addresses

Primary practice location

60 E 3750 S
South Salt Lake, UT 84115-4428

Mailing address

2240 Adams Ave
Ogden, UT 84401-1511
Phone (801) 334-1327

Other names 1

  • Pharmacy South Salt Lake Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midtown Community Health8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1508649567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 ADAMS AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011511",
            "telephone_number": "801-334-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E 3750 S",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154428",
            "telephone_number": "801-262-3315",
            "fax_number": "801-262-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-334-1327"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy South Salt Lake",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacy South Salt Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.