Active NPI
Bettercare Family Pharmacy LLC
- Community/Retail Pharmacy
- Provo, UT
National Provider Identifier
1659859965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10901846-1703
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184940835 | Other | MI | NPI NUMBER |
| 3008051 | Medicaid | UT |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Provo, UT
- NPI 1114552296
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.