NPIMap

Organization Active NPI

Everest Pharmacy LLC

  • Community/Retail Pharmacy
  • Sandy, UT
National Provider Identifier
1669767356
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
79911841703 Issued in UT
Legal business name
EVEREST PHARMACY LLC
Practice address
9883 S 500 W
Sandy, UT 84070-2561
Phone
(801) 727-1964
Fax
(888) 520-8838
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
David Diehl
Title
Pharmacist in Charge
Phone
(888) 702-1197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 79911841703 UT Primary

Addresses

Primary practice location

9883 S 500 W
Sandy, UT 84070-2561

Mailing address

9883 S 500 W
Sandy, UT 84070-2561
Phone (877) 540-4748

Other identifiers 1

IdentifierTypeStateIssuer
2130078OtherPK

Other names 1

  • Everest Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1669767356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9883 S 500 W",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702561",
            "telephone_number": "877-540-4748",
            "fax_number": "877-217-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9883 S 500 W",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702561",
            "telephone_number": "801-727-1964",
            "fax_number": "888-520-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "888-702-1197"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "79911841703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everest Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.