Organization Active NPI

Bettercare Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Provo, UT
National Provider Identifier
1659859965
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10901846-1703 Issued in UT
Legal business name
BETTERCARE FAMILY PHARMACY LLC
Practice address
545 Columbia LN
Provo, UT 84604-2450
Phone
(385) 477-4942
Fax
(385) 477-4945
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Haksoo Kim
Title
Owner
Phone
(385) 450-0747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 10901846-1703 UT Primary

Addresses

Primary practice location

545 Columbia LN
Provo, UT 84604-2450

Mailing address

545 Columbia LN
Provo, UT 84604-2450
Phone (385) 477-4942

Other identifiers 2

IdentifierTypeStateIssuer
1184940835OtherMINPI NUMBER
3008051MedicaidUT

National Provider Directory

National Provider Directory

Locations

545 W Columbia Ln
Provo, UT 84604
Phone (385) 477-4942

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1659859965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 COLUMBIA LN",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042450",
            "telephone_number": "385-477-4942",
            "fax_number": "385-477-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 COLUMBIA LN",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042450",
            "telephone_number": "385-477-4942",
            "fax_number": "385-477-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTERCARE FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HAKSOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-450-0747"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "10901846-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1184940835",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3008051",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.