Active NPI
Central Drug LLC
- Community/Retail Pharmacy
- Bountiful, UT
National Provider Identifier
1538528898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CENTRAL DRUG LLC
- Doing business as
- Bountiful Drug
- Practice address
- 47 E 500 S
Bountiful, UT 84010-6227 - Phone
- (801) 295-3463
- Fax
- (801) 298-8223
- NPI assigned
- Feb 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Eleanor Rogers, PHARMD
- Title
- President
- Phone
- (801) 718-7574
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
47 E 500 S
Bountiful, UT 84010-6227
Mailing address
133 W 1700 S
Bountiful, UT 84010-5236
Phone (801) 718-7574
Other names 1
- Bountiful Drug
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D1001834 | Bountiful Drug | Certificate of waiver | Jul 21, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bountiful, UT
- NPI 1063512614
-
- Pharmacist
- Bountiful, UT
- NPI 1205023561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455494400000",
"number": "1538528898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 W 1700 S",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840105236",
"telephone_number": "801-718-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 E 500 S",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840106227",
"telephone_number": "801-295-3463",
"fax_number": "801-298-8223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL DRUG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-15",
"last_updated": "2016-02-15",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ELEANOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-718-7574",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bountiful Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.