Individual provider Active NPI

Jason Drew Harting

  • Community/Retail Pharmacy
  • West Valley, UT
National Provider Identifier
1669023727
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Practice address
3747 S Constitution Blvd
West Valley, UT 84119-3721
Phone
(801) 996-9008
NPI assigned
Sep 20, 2019
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

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

Addresses

Primary practice location

3747 S Constitution Blvd
West Valley, UT 84119-3721

Mailing address

3747 S Constitution Blvd
West Valley, UT 84119-3721
Phone (801) 996-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address w622phm@costco.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1669023727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 S CONSTITUTION BLVD",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841193721",
            "telephone_number": "801-996-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 S CONSTITUTION BLVD",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841193721",
            "telephone_number": "801-996-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTING",
        "first_name": "JASON",
        "middle_name": "DREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "w622phm@costco.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3747 S Constitution Blvd",
            "city": "West Valley",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841193721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Valley, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.