Meridian Meds, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

8455352-1704 Issued in UT

Legal business name

MERIDIAN MEDS, LLC

Practice address

220 N 1200 E
Suite 104
Lehi, UT 84043-5862

Phone

(801) 331-8291

Fax

(801) 331-8037

NPI assigned

Nov 15, 2012

Last updated

Sep 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett Clark Johnson, PH.D.

Title

President

Phone

(801) 331-8291

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1679817779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N 1200 E",
            "address_2": "SUITE 104",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435862",
            "telephone_number": "801-331-8291",
            "fax_number": "801-331-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N 1200 E",
            "address_2": "SUITE 104",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435862",
            "telephone_number": "801-331-8291",
            "fax_number": "801-331-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN MEDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-331-8291",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "UT",
            "license": "8455352-1704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Lehi, UT
• Providers in Lehi, UT by specialty
• Long Term Care Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.