Firestone Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

FIRESTONE PHARMACY, LLC

Practice address

450 S 400 E
Bountiful, UT 84010-4938

Phone

(801) 397-5900

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Brett Robertson

Title

Manager

Phone

(801) 296-5113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1720375660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 400 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104938",
            "telephone_number": "801-397-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S 400 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104938",
            "telephone_number": "801-397-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRESTONE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-296-5113"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarajane Elizabeth Fife
• Walter D. Fife, M.D.
• Madison Brooke Finch, NP
• Megan Gean Finley, CRT
• Emily Ann Fintak, MS, CCC-SLP
• Firstmed North LLC
• Abbie Fisher
• Taya Fisher
• Mark G. Flammer, MD
• David Flynn, DDS

• Long Term Care Pharmacy in Bountiful, UT
• Providers in Bountiful, 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 Jun 29, 2011; 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.