Olive Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OLIVE PHARMACY

Practice address

2290 S Redwood Rd
West Valley City, UT 84119-1322

Phone

(801) 972-5155

Fax

(801) 972-5152

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kamran M Khan

Title

Pharmacy Manager

Phone

(801) 972-5155

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1588927792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 S REDWOOD RD",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841191322",
            "telephone_number": "801-972-5155",
            "fax_number": "801-972-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 S REDWOOD RD",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841191322",
            "telephone_number": "801-972-5155",
            "fax_number": "801-972-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "801-972-5155",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "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": []
}

• Jessica O'Brien, MOT,OTR/L
• Alison Oakes, M.D.
• Charles Matthew Oakley, LMT
• Occupational Health Centers of the Southwest, P.a. (Ut)
• David Oelsner, M.D.
• Steve Alan Oliver, MD
• Jamie Heather Olsen
• Omal Management LLC
• Omar Omar
• Gabriella Ontiveros

• 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 Jun 21, 2012; 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.