Family Plaza Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

FAMILY PLAZA PHARMACY INC

Practice address

3570 W 9000 S Ste 150
West Jordan, UT 84088-8872

Phone

(801) 569-0175

Fax

(801) 569-8941

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Shane Michael Jensen, PHARMD

Title

President

Phone

(801) 569-0175

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Harpole, CPHT

  • Pharmacy Technician
  • West Jordan, UT
  • NPI 1851257620
  NPD
• Phil Olsen, PHARMD

  • Pharmacist
  • West Jordan, UT
  • NPI 1689265290
  NPD
• Micah Heathcote

  • Pharmacist
  • Kearns, UT
  • NPI 1205706942
  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1609493667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 W 9000 S STE 150",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888872",
            "telephone_number": "801-569-0175",
            "fax_number": "801-569-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 W 9000 S STE 150",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888872",
            "telephone_number": "801-569-0175",
            "fax_number": "801-569-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-569-0175",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Families First Oral Surgery
• Families First Orthodontics
• Families First Pediatric Dentistry
• Families First Pediatrics LLC
• Family Development Center
• Family Plaza Pharmacy Inc
• Family Surgical Suite
• Ryan Farmer, PHARM D
• Heston Farnsworth, D.M.D.
• McKala Farnsworth, LMT

• Long Term Care Pharmacy in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Long Term Care Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.