Village Pantry #9

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1323631703 Issued in UT

Legal business name

VILLAGE PANTRY #9

Practice address

405 S Main St
Springville, UT 84663-2252

Phone

(801) 489-5618

Fax

(801) 489-0441

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Michael Johnson, RPH

Title

Owner and Pharmacist

Phone

(801) 489-5618

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ART CITY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1558406181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S MAIN ST",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632252",
            "telephone_number": "801-489-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S MAIN ST",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632252",
            "telephone_number": "801-489-5618",
            "fax_number": "801-489-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PANTRY #9",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "801-489-5618",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "1323631703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ART CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ART CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.