South Valley Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SOUTH VALLEY PHARMACY

Practice address

1652 S Highway 165
Providence, UT 84332-6701

Phone

(801) 703-0494

NPI assigned

Dec 14, 2007

Last updated

Dec 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Durrant

Title

President

Phone

(435) 563-6262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1750564514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 S HIGHWAY 165",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843326701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 S HIGHWAY 165",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843326701",
            "telephone_number": "801-703-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "DURRANT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-563-6262"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleepy Smiles LLC (Ivory Anesthesia)
• David Alan Smith, O.D.
• Evan Smith
• Katie Snow
• South Valley Eyecare Center, Inc.
• Spring Creek Dental Associates, LLC
• Spring Creek Surgical Center, LLC
• Springcreek Medical Center PC
• Jonathan Patrick Sprouse
• Seneca Stagg, RBT

• Community/Retail Pharmacy in Providence, UT
• Providers in Providence, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.