Individual provider Active NPI

Vaughn Kurtis Thompson

  • Pharmacist
  • Ogden, UT
National Provider Identifier
1639228760
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5115907-1714 Issued in UT
Practice address
707 24TH St
Suite E
Ogden, UT 84401-2580
Phone
(801) 627-1175
Fax
(801) 627-0770
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5115907-1714 UT Primary

Addresses

Primary practice location

707 24TH St
Suite E
Ogden, UT 84401-2580

Mailing address

707 24TH St
Suite E
Ogden, UT 84401-2580
Phone (801) 627-1175

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

State licenses

LicenseStateTypeSpecialty
5115907-1714UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Millennial Care Home Oxygen and Medical Services Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639228760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 24TH ST",
            "address_2": "SUITE E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012580",
            "telephone_number": "801-627-1175",
            "fax_number": "801-627-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 24TH ST",
            "address_2": "SUITE E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012580",
            "telephone_number": "801-627-1175",
            "fax_number": "801-627-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "VAUGHN",
        "middle_name": "KURTIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "5115907-1714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.