NPIMap

Organization Active NPI

Jolley's Corner Variety, Inc.

Doing business as Jolleys Corner Pharmacy

  • Pharmacy Technician
  • Salt Lake City, UT
National Provider Identifier
1588724397
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
57508311717 Issued in UT
Legal business name
JOLLEY'S CORNER VARIETY, INC.
Doing business as
Jolleys Corner Pharmacy
Practice address
1676 E 1300 S
Salt Lake City, UT 84105-1704
Phone
(801) 582-1999
Fax
(801) 582-1270
NPI assigned
Dec 11, 2006
Last updated
Mar 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
M Bryce Jolley
Title
President
Phone
(801) 582-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 57508311717 UT Primary

Addresses

Primary practice location

1676 E 1300 S
Salt Lake City, UT 84105-1704

Mailing address

1676 E 1300 S
Salt Lake City, UT 84105-1704
Phone (801) 582-1999

Other names 1

  • JOLLEYS CORNER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1588724397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 E 1300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051704",
            "telephone_number": "801-582-1999",
            "fax_number": "801-582-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 E 1300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051704",
            "telephone_number": "801-582-1999",
            "fax_number": "801-582-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLEY'S CORNER VARIETY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "BRYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-582-1999"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "UT",
            "license": "57508311717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOLLEYS CORNER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.