Michelle Denae Speckman, RPH

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

333237-1701 Issued in UT

Practice address

4133 W Pioneer Pkwy Ste 130
West Valley City, UT 84120-2059

Phone

(801) 403-4934

Fax

(888) 546-0632

NPI assigned

Jan 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oquirrh Services

  • Specialist
  • Taylorsville, UT
  • NPI 1225895022
  NPD

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1689444101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 W PIONEER PKWY STE 130",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202059",
            "telephone_number": "801-403-4934",
            "fax_number": "888-546-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 W PIONEER PKWY STE 130",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202059",
            "telephone_number": "801-403-4934",
            "fax_number": "888-546-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECKMAN",
        "first_name": "MICHELLE",
        "middle_name": "DENAE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "UT",
            "license": "333237-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Alexis Sorensen, LCSW
• Shala Sorensen
• Steven Sorensen
• Julie Sotelo
• Edward G Southwick, M.D.
• Elizabeth Spencer
• Spine & Sports Medicine
• Spine and Sports Medicine Inc
• Warren R Stack, MD
• William Stark

• Ambulatory Care Pharmacist in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Ambulatory Care Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.