Matthew Bryce Jolley, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

12322305-1703 Issued in UT

Practice address

1676 E 1300 S
Salt Lake City, UT 84105-1704

Phone

(801) 582-1999

Fax

(801) 582-1270

NPI assigned

Jul 15, 2022

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Jolley's Corner Variety, Inc.

  dba Jolleys Corner Pharmacy

  • Pharmacy Technician
  • Salt Lake City, UT
  • NPI 1588724397
  NPD (past)

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1639803406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 E 1300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051704",
            "telephone_number": "801-582-1999",
            "fax_number": "801-582-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 E 1300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051704",
            "telephone_number": "801-582-1999",
            "fax_number": "801-582-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLEY",
        "first_name": "MATTHEW",
        "middle_name": "BRYCE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "UT",
            "license": "12322305-1703",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "UT",
            "license": "12322305-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Jolley, PHARM D
• Elisabeth K. Jolley, MSW, LCSW
• Hailie Sandra Jolley
• Jerald T Jolley, O.D.
• Leo Dean Jolley, RPH
• Michelle Ann Jolley
• Trevor Jolley
• Jolley's Corner Businesses LLC (Jolleys Corner Pharmacy)
• Jolley's Corner Variety, Inc. (Jolleys Corner Pharmacy)
• Catherine D. Jolma, M.D.

• Ambulatory Care Pharmacist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Ambulatory Care Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.