Gita Entezam

Primary specialty

PharmacistTaxonomy code 183500000X

License

152501-1701 Issued in UT

Practice address

1525 W 2100 S
Salt Lake City, UT 84119-1401

Phone

(801) 213-9950

Fax

(801) 213-9965

NPI assigned

May 27, 2006

Last updated

Nov 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1538116504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5367 HILLSDEN DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177741",
            "telephone_number": "801-272-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841191401",
            "telephone_number": "801-213-9950",
            "fax_number": "801-213-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTEZAM",
        "first_name": "GITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "152501-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brennan J. Enright, MD
• Ensign Peak Services Inc.
• Ensign Peak Services, Inc.
• Richard H Ensign II, PHARMD
• Kyle R Enslin
• Jarred J Entringer
• Annette M Ephroni, APRN
• Epic Minds Therapy Ut
• Christy L Epperson
• Justin Dale Epperson

• Pharmacist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.