Active NPI
Kevin Devonn Jones, RPH.
- Pharmacist
- St George, UT
National Provider Identifier
1629722749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 150579
- Practice address
- 25 N 100 E Ste 102
St George, UT 84770-7369 - Phone
- (435) 986-2565
- NPI assigned
- Feb 8, 2022
- 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 | 150579 | UT | Primary |
Addresses
Primary practice location
25 N 100 E Ste 102
St George, UT 84770-7369
Mailing address
2335 W Sunbrook Dr Unit 66
St George, UT 84770-1946
Phone (801) 718-9947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150579-1701 | Other | UT | PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150579 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1629722749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 W SUNBROOK DR UNIT 66",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847701946",
"telephone_number": "801-718-9947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N 100 E STE 102",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847707369",
"telephone_number": "435-986-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KEVIN",
"middle_name": "DEVONN",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "150579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "150579-1701",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.