Service Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3290331703 Issued in UT

Legal business name

SERVICE DRUG COMPANY INC

Practice address

215 W Main St
Delta, UT 84624-9257

Phone

(435) 864-2545

Fax

(435) 864-5925

NPI assigned

Jul 22, 2006

Organization subpart

No

Name

Roger Killpack, RPH

Title

Owner

Phone

(435) 864-2545

Medicare fee-for-service enrollment

Enrolled in UT3 enrollments

Enrollment records 3

Tax ID family

Service Drug Co4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Service Drug Company Inc

  • Long Term Care Pharmacy
  • Delta, UT
  • NPI 1326740705
  NPD tax ID
• Service Drug Company Inc

  • Community/Retail Pharmacy
  • Fillmore, UT
  • NPI 1508820804
  NPD tax ID
• Service Drug Company Inc

  • Clinical Medical Laboratory
  • Delta, UT
  • NPI 1609506047
  NPD tax ID

Locations

• SERVICE DRUG COMPANY INC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2022.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1528089570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846240460",
            "telephone_number": "435-864-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MAIN ST",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846249257",
            "telephone_number": "435-864-2545",
            "fax_number": "435-864-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "KILLPACK",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-864-2545",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "3290331703",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870291023007",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2106948",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERVICE DRUG COMPANY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Riding, R.N.
• Kathryn Roper
• Katy Glenn Roper, SLP
• Scoville Chiropractic Clinic LLP
• Service Drug Company Inc
• Service Drug Company Inc
• Steven W Shamo, M.D.
• Shopko Stores Operating Co LLC
• Shreya Health of Utah, Inc
• Renae G. Singletary, LCSW

• All providers in Delta, UT
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.