Organization Active NPI

Santaquin Pharmacy

  • Specialty Pharmacy
  • Santaquin, UT
National Provider Identifier
1750650263
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
7373707-1703 Issued in UT
Legal business name
SANTAQUIN PHARMACY
Practice address
390 E Main St
Santaquin, UT 84655-7078
Phone
(801) 754-1141
Fax
(801) 754-3141
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mr. Jim Webster
Title
Owner
Phone
(801) 754-1141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 7373707-1703 UT Primary

Addresses

Primary practice location

390 E Main St
Santaquin, UT 84655-7078

Mailing address

390 E Main St
Santaquin, UT 84655-7078
Phone (801) 754-1141

Other practice location 1

27 W Main St Ste C1
Santaquin, UT 84655-5642
Phone (801) 754-1141

Other practice location 2

27 W Main St Ste C1
Santaquin, UT 84655-5642
Phone (801) 754-1141

National Provider Directory

National Provider Directory

Locations

390 E Main St
Santaquin, UT 84655
Phone (801) 754-1141

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1750650263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 E MAIN ST",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846557078",
            "telephone_number": "801-754-1141",
            "fax_number": "801-754-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E MAIN ST",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846557078",
            "telephone_number": "801-754-1141",
            "fax_number": "801-754-3141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 W Main St Ste C1",
            "address_purpose": "LOCATION",
            "city": "Santaquin",
            "state": "UT",
            "postal_code": "846555642",
            "country_code": "US",
            "telephone_number": "801-754-1141",
            "fax_number": "801-754-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 W Main St Ste C1",
            "address_purpose": "LOCATION",
            "city": "Santaquin",
            "state": "UT",
            "postal_code": "846555642",
            "country_code": "US",
            "telephone_number": "801-754-1141",
            "fax_number": "801-754-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANTAQUIN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-754-1141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "UT",
            "license": "7373707-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santaquin, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.