Paul Ream Enterprises

Primary specialty

PharmacyTaxonomy code 333600000X

License

60307971703 Issued in UT

Legal business name

PAUL REAM ENTERPRISES

Practice address

2250 N University Pkwy
Provo, UT 84604-1500

Phone

(801) 356-3784

Fax

(801) 356-0559

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary Lynn Nakken, RPH

Title

Pharmacy Manager

Phone

(801) 356-3784

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reams Family Foods Doing business as

Locations

Practitioners 1

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

• Charles Steven Koopman, PHARM D.

  • Pharmacist
  • Loma Linda, CA
  • NPI 1154543890
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679546709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N UNIVERSITY PKWY",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041500",
            "telephone_number": "801-356-3784",
            "fax_number": "801-356-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N UNIVERSITY PKWY",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041500",
            "telephone_number": "801-356-3784",
            "fax_number": "801-356-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL REAM ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAKKEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "801-356-3784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "60307971703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4610374",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reams Family Foods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alan R Patterson, MD
• Dori Patterson, NP-C
• Eric Dennis Patterson, C.S.W.
• Sarah Catherine Patterson
• Tonya Patterson
• Tiana Paul
• Allan K. Pauole, LCMHC
• Aaron D Paxman, PA-C
• Tate Paxton
• Taunya Paxton

• Pharmacy in Provo, UT
• Providers in Provo, UT by specialty
• Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.