Individual provider Active NPI

Annette C Raiford, PHARMD

  • Pharmacist
  • Taylorsville, UT
National Provider Identifier
1730608993
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7786995-1701 Issued in UT
Practice address
1837 W 4700 S
Taylorsville, UT 84129-1103
Phone
(801) 967-0682
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7786995-1701 UT Primary

Addresses

Primary practice location

1837 W 4700 S
Taylorsville, UT 84129-1103

Mailing address

7694 S Alida Dr
West Jordan, UT 84084-3888
Phone (801) 815-2145

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

LicenseStateTypeSpecialty
7786995-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1730608993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7694 S ALIDA DR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843888",
            "telephone_number": "801-815-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 W 4700 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841291103",
            "telephone_number": "801-967-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIFORD",
        "first_name": "ANNETTE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "7786995-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.