Active NPI
Curtis Wander
- Pharmacist
- Murray, UT
National Provider Identifier
1609459775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7690180-1701
- Practice address
- 5381 S Green St
Murray, UT 84123-4661 - Phone
- (801) 442-7804
- NPI assigned
- May 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7690180-1701 | UT | Primary |
Addresses
Primary practice location
5381 S Green St
Murray, UT 84123-4661
Mailing address
3224 E 3925 S
Holladay, UT 84124-2148
Phone (330) 608-7421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7690180-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1609459775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3224 E 3925 S",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841242148",
"telephone_number": "330-608-7421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5381 S GREEN ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841234661",
"telephone_number": "801-442-7804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANDER",
"first_name": "CURTIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-05",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "7690180-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.