Trent Adams

Individual provider Active NPI Pharmacist · Taylorsville, UT

NPI 1750018396 · NPPES record last updated Aug 3, 2022

Key facts

NPI
1750018396
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
8099140-1701 (UT)
Practice address
5454 S Redwood Rd
Taylorsville, UT 84123-5319
Phone
(801) 967-9185
Fax
(801) 967-9645
NPI assigned
Aug 3, 2022
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8099140-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmon City Inc Past
since Aug 7, 2022
Accepting new patients
Harmon City Inc Past
since Aug 7, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8099140-1701 UT Yes

Addresses

Primary practice location

5454 S Redwood Rd
Taylorsville, UT 84123-5319

Mailing address

5454 S Redwood Rd
Taylorsville, UT 84123-5319
Phone (801) 967-9185

Other providers in Taylorsville, UT

All providers in Taylorsville, UT · Pharmacist in Utah

Sources for this page

Verify at the official NPI Registry.