NPIMap

Organization Active NPI

Gunnison Valley Hospital

Doing business as Manti Pharmacy

  • Community/Retail Pharmacy
  • Manti, UT
National Provider Identifier
1639842255
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GUNNISON VALLEY HOSPITAL
Doing business as
Manti Pharmacy
Practice address
156 S Main St
Manti, UT 84642-1351
Phone
(435) 835-7250
Fax
(435) 835-7249
NPI assigned
Jul 29, 2021
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Brian C. Murray
Title
Cfo
Phone
(435) 528-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

156 S Main St
Manti, UT 84642-1351

Mailing address

156 S Main St
Manti, UT 84642-1351
Phone (435) 835-7250

Other names 1

  • Manti Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231117002610 UT Part B Supplier - Pharmacy 3678487659 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salina, UT; Manti, UT

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Richard B Nay MD25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

156 S Main St
Manti, UT 84642
Phone (435) 835-7246

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1639842255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 S MAIN ST",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846421351",
            "telephone_number": "435-835-7250",
            "fax_number": "435-835-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 S MAIN ST",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846421351",
            "telephone_number": "435-835-7250",
            "fax_number": "435-835-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "435-528-7246"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manti Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Manti Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manti, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.