Cottonwood Compounding PLLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

COTTONWOOD COMPOUNDING PLLC

Practice address

7050 S Highland Dr Ste 110
Cottonwood Heights, UT 84121-3764

Phone

(385) 279-4268

Fax

(385) 279-4348

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Witzenman, PHARMD

Title

Owner/Pic

Phone

(801) 712-1934

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1528605482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 S HIGHLAND DR STE 110",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213764",
            "telephone_number": "385-279-4268",
            "fax_number": "385-279-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 S HIGHLAND DR STE 110",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213764",
            "telephone_number": "385-279-4268",
            "fax_number": "385-279-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD COMPOUNDING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "WITZENMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "801-712-1934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Delilah Correa, PA-C
• Mele Cosare
• Brooklyn Costello
• Jadiah Costello
• Alyssa Anne Cottle
• Cottonwood Dental Center
• Cottonwood Heights Senior Living, LLC
• Lauren Esther Coulter
• Kristina Couron
• Estie Cowan

• Compounding Pharmacy in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Compounding Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.