Active NPI
Kenneth John Knapp Jr., R.PH.
- Pharmacist
- West Jordan, UT
National Provider Identifier
1669765343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6072986-1701
- Practice address
- 3580 W 9000 S
West Jordan, UT 84088-8812 - Phone
- (801) 562-3116
- Fax
- (801) 562-3117
- NPI assigned
- May 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6072986-1701 | UT | Primary |
| Pharmacist | 183500000X | 15367 | NV | |
| Pharmacist | 183500000X | 26803 | TX |
Addresses
Primary practice location
3580 W 9000 S
West Jordan, UT 84088-8812
Mailing address
3580 W 9000 S
West Jordan, UT 84088-8812
Phone (801) 562-3116
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15367 | NV | MD | Pharmacist |
| 26803 | TX | MD | Pharmacist |
| 6072986-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1669765343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 W 9000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840888812",
"telephone_number": "801-562-3116",
"fax_number": "801-562-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 W 9000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840888812",
"telephone_number": "801-562-3116",
"fax_number": "801-562-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "KENNETH",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-27",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "6072986-1701",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "15367",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "26803",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.