Individual provider Active NPI

Bryan Reed McHargue

  • Pharmacist
  • Pleasant Grove, UT
National Provider Identifier
1700430865
Registry record updated Jul 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
501326-1701 Issued in UT
Practice address
931 W State Rd
Pleasant Grove, UT 84062-2102
Phone
(801) 796-6580
Fax
(801) 795-0760
NPI assigned
Jul 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 501326-1701 UT Primary

Addresses

Primary practice location

931 W State Rd
Pleasant Grove, UT 84062-2102

Mailing address

1510 W 1200 N
Mapleton, UT 84664-3204
Phone (801) 367-1660

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Mapleton

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

State licenses

LicenseStateTypeSpecialty
501326-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maceys Inc PastSince Aug 6, 2019 Accepting new patients
Maceys Inc PastSince Aug 6, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564185600000",
    "number": "1700430865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 W 1200 N",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "846643204",
            "telephone_number": "801-367-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 W STATE RD",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622102",
            "telephone_number": "801-796-6580",
            "fax_number": "801-795-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHARGUE",
        "first_name": "BRYAN",
        "middle_name": "REED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-27",
        "last_updated": "2019-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "501326-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mapleton",
            "affiliation": "N",
            "address_1": "931 W State Rd",
            "city": "Pleasant Grove",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840622102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; 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.