Apothecary Shop of Sandy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

69707811703 Issued in UT

Legal business name

APOTHECARY SHOP OF SANDY INC

Doing business as

Southwood Apothecary Shop

Practice address

880 E 9400 S
Ste 118
Sandy, UT 84094-3667

Phone

(801) 571-0340

Fax

(801) 576-8938

NPI assigned

Jul 6, 2006

Last updated

Nov 6, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

APOTHECARY HOLDINGS INCAs reported in NPPES

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

Authorized official

Name

Nathan Downhour, PHRMD

Title

VP of Operations

Phone

(623) 434-3654

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• SOUTHWOOD APOTHECARY SHOP Doing business as

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1639100803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 W WHISPERING WIND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850678",
            "telephone_number": "623-434-3659",
            "fax_number": "623-434-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E 9400 S",
            "address_2": "STE 118",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943667",
            "telephone_number": "801-571-0340",
            "fax_number": "801-576-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARY SHOP OF SANDY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APOTHECARY HOLDINGS INC",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "DOWNHOUR",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "623-434-3654",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "69707811703",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - MASS IMMUNIZATION ROSTER BILLER",
            "identifier": "67629",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4603165",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8703064560008",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWOOD APOTHECARY SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrews Counseling
• Anthony S Gordon, MDPC
• Anywhere Care
• Aperture Medical LLC
• Apex Orthodontics, LLC
• Apple Contact Lens Center Inc.
• Aragon Medical (Jennifer Aragon)
• Jennifer Lyn Aragon, A.P.R.N.
• Alfredo Jareth Aranda, DDS
• Joycelyn Araya

• Community/Retail Pharmacy in Sandy, UT
• Providers in Sandy, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.