Individual provider Active NPI

Blake Welch Bentley

  • Pharmacist
  • West Valley City, UT
National Provider Identifier
1518501642
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4898357-1701 Issued in UT
Practice address
4133 W Pioneer Pkwy Ste 130
West Valley City, UT 84120-2059
Phone
(385) 557-6747
Fax
(888) 546-0632
NPI assigned
Oct 31, 2019
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18088 NV
Pharmacist 183500000X 4898357-1701 UT Primary

Addresses

Primary practice location

4133 W Pioneer Pkwy Ste 130
West Valley City, UT 84120-2059

Mailing address

4133 W Pioneer Pkwy Ste 130
West Valley City, UT 84120-2059
Phone (385) 557-6747

Other practice location 1

1370 W 200 N
Kaysville, UT 84037-9711
Phone (385) 888-5320

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

State licenses

LicenseStateTypeSpecialty
18088NVMDPharmacist
4898357-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oquirrh Services Current Accepting new patients
Reeva LTC LLC Current Accepting new patients

Locations

4133 W Pioneer Pkwy
Ste 130
West Valley City, UT 84120
Phone (385) 308-0448

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1518501642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 W PIONEER PKWY STE 130",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202059",
            "telephone_number": "385-557-6747",
            "fax_number": "888-546-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 W PIONEER PKWY STE 130",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202059",
            "telephone_number": "385-557-6747",
            "fax_number": "888-546-0632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 W 200 N",
            "address_purpose": "LOCATION",
            "city": "Kaysville",
            "state": "UT",
            "postal_code": "840379711",
            "country_code": "US",
            "telephone_number": "385-888-5320",
            "fax_number": "385-888-5325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "BLAKE",
        "middle_name": "WELCH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-31",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "18088",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "4898357-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.