Individual provider Active NPI

Tanner Lynn Rosquist, PHARMD

  • Pharmacist
  • Nephi, UT
National Provider Identifier
1629960117
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12407142-1701 Issued in UT
Practice address
48 W 1500 N
Nephi, UT 84648-8900
Phone
(435) 623-3700
Fax
(435) 623-3704
NPI assigned
Jul 17, 2025
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12407142-1701 UT Primary

Addresses

Primary practice location

48 W 1500 N
Nephi, UT 84648-8900

Mailing address

48 W 1500 N
Nephi, UT 84648-8900
Phone (435) 623-3700

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
12407142-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1629960117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 W 1500 N",
            "city": "NEPHI",
            "state": "UT",
            "postal_code": "846488900",
            "telephone_number": "435-623-3700",
            "fax_number": "435-623-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 W 1500 N",
            "city": "NEPHI",
            "state": "UT",
            "postal_code": "846488900",
            "telephone_number": "435-623-3700",
            "fax_number": "435-623-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSQUIST",
        "first_name": "TANNER",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "12407142-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nephi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.