NPIMap

Organization Active NPI

Oak Hills Pharmacy LLC

  • Community/Retail Pharmacy
  • Provo, UT
National Provider Identifier
1730679085
Registry record updated Aug 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10752535-1703 Issued in UT
Legal business name
OAK HILLS PHARMACY LLC
Practice address
1750 N Wymount Terrace Dr
Provo, UT 84602-7600
Phone
(801) 422-5171
Fax
(801) 422-0812
NPI assigned
May 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2023

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

Authorized official

Name
Mike ChamberlainNPI 1255361481
Title
RPH / Owner
Phone
(801) 560-7095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 10752535-1703 UT Primary

Addresses

Primary practice location

1750 N Wymount Terrace Dr
Provo, UT 84602-7600

Mailing address

1750 N Wymount Terrace Dr
Provo, UT 84602-7600
Phone (801) 422-5171

Other identifiers 1

IdentifierTypeStateIssuer
2177305OtherPK

Other names 1

  • Oak Hills Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693008000000",
    "number": "1730679085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N WYMOUNT TERRACE DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846027600",
            "telephone_number": "801-422-5171",
            "fax_number": "801-422-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N WYMOUNT TERRACE DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846027600",
            "telephone_number": "801-422-5171",
            "fax_number": "801-422-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HILLS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-12",
        "last_updated": "2023-08-26",
        "certification_date": "2023-08-26",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "RPH / OWNER",
        "authorized_official_telephone_number": "801-560-7095"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "10752535-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177305",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Hills Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oak Hills Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2023; 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.