Active NPI
Jeffrey Kurt Gatzemeier, PHARMD
- Pharmacist
- West Valley City, UT
National Provider Identifier
1699539791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5253103-1701
- Practice address
- 4133 W Pioneer Pkwy Ste 130
West Valley City, UT 84120-2059 - Phone
- (801) 252-1000
- Fax
- (888) 546-0632
- NPI assigned
- Feb 8, 2024
- Last updated
- Feb 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5253103-1701 | UT | Primary |
Addresses
Primary practice location
4133 W Pioneer Pkwy Ste 130
West Valley City, UT 84120-2059
Mailing address
10716 S Maughan Cir
South Jordan, UT 84095-3347
Phone (801) 574-6768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5253103-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oquirrh Mountain Pharmacy LLC | Current | Accepting new patients | |
| Oquirrh Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Oquirrh Mountain Pharmacy
- Community/Retail Pharmacy
- Magna, UT
- NPI 1578890695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1699539791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10716 S MAUGHAN CIR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840953347",
"telephone_number": "801-574-6768",
"fax_number": "801-252-1002"
},
{
"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": "801-252-1000",
"fax_number": "888-546-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATZEMEIER",
"first_name": "JEFFREY",
"middle_name": "KURT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "5253103-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.