Valley Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

313988-1703 Issued in UT

Legal business name

VALLEY PHARMACY INC

Doing business as

Valley Pharmacy Inc

Practice address

1819 W 3500 S
Ste 1G
West Valley City, UT 84119-3457

Phone

(801) 978-9655

Fax

(801) 978-0178

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Hoa Nguyen

Title

Owner and President

Phone

(801) 978-9655

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• VALLEY PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1588709570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W 3500 S",
            "address_2": "STE 1G",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193457",
            "telephone_number": "801-978-9655",
            "fax_number": "801-978-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W 3500 S",
            "address_2": "STE 1G",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193457",
            "telephone_number": "801-978-9655",
            "fax_number": "801-978-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HOA",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "801-978-9655"
    },
    "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": "313988-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4608381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amanda Van Ausdal
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• Morgan Vanikiotis

• Community/Retail Pharmacy in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.