Organization Active NPI

CD Pharmacy LLC

Doing business as Red Rock Pharmacy

  • Long Term Care Pharmacy
  • Springville, UT
National Provider Identifier
1689109506
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CD PHARMACY LLC
Doing business as
Red Rock Pharmacy
Practice address
863 W 450 S
Suite 201
Springville, UT 84663
Phone
(801) 477-9441
Fax
(801) 477-9442
NPI assigned
Apr 28, 2017
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Kenneth Eddie Norris
Title
Managing Partner
Phone
(801) 433-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

863 W 450 S
Suite 201
Springville, UT 84663

Mailing address

450 S 900 E
Suite 100
SLC, UT 84102-2981
Phone (801) 712-2088

Other names 1

  • Red Rock Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CD Pharmacy LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

863 W 450 S
Ste 201
Springville, UT 84663
Phone (801) 477-9441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1689109506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 900 E",
            "address_2": "SUITE 100",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841022981",
            "telephone_number": "801-712-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 W 450 S",
            "address_2": "SUITE 201",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "84663",
            "telephone_number": "801-477-9441",
            "fax_number": "801-477-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EDDIE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "801-433-9500"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.