NPIMap

Organization Active NPI

Holladay Pharmacy Inc

  • Pharmacist
  • Holladay, UT
National Provider Identifier
1750473971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
138817-1701 Issued in UT
Legal business name
HOLLADAY PHARMACY INC
Practice address
4690 Holladay Blvd
Holladay, UT 84117-5243
Phone
(801) 278-0411
NPI assigned
Sep 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gordon Hanks
Title
Onwer
Phone
(801) 278-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 138817-1701 UT Primary

Addresses

Primary practice location

4690 Holladay Blvd
Holladay, UT 84117-5243

Mailing address

4690 Holladay Blvd
Holladay, UT 84117-5243
Phone (801) 278-0411

National Provider Directory

National Provider Directory
Tax ID family
Holladay Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750473971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 HOLLADAY BLVD",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175243",
            "telephone_number": "801-278-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 HOLLADAY BLVD",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175243",
            "telephone_number": "801-278-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLADAY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "801-278-0411"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "138817-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.