Individual provider Active NPI

Eric Renner McDowell, PHARM. D.

  • Pharmacist
  • West Valley City, UT
National Provider Identifier
1619149499
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4550841-1701 Issued in UT
Practice address
1152 W 2240 S Ste E
West Valley City, UT 84119-7245
Phone
(801) 485-3344
Fax
(801) 485-1982
NPI assigned
Apr 1, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 4550841-1701 UT Primary
Pharmacist 183500000X 4550841-8911 UT
Pharmacist 183500000X P5599 ID

Addresses

Primary practice location

1152 W 2240 S Ste E
West Valley City, UT 84119-7245

Mailing address

1152 W 2240 S Ste E
West Valley City, UT 84119-7245
Phone (801) 485-3344

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
P5599IDMDPharmacist
4550841-1701UTMDPharmacist
4550841-8911UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1619149499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 W 2240 S STE E",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841197245",
            "telephone_number": "801-485-3344",
            "fax_number": "801-485-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 W 2240 S STE E",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841197245",
            "telephone_number": "801-485-3344",
            "fax_number": "801-485-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "ERIC",
        "middle_name": "RENNER",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "4550841-1701",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "4550841-8911",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P5599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.