NPIMap

Organization Active NPI

Nomi Pharma, LLC

  • Specialty Pharmacy
  • Salt Lake City, UT
National Provider Identifier
1760232169
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
NOMI PHARMA, LLC
Practice address
3696 W 2100 S
Salt Lake City, UT 84120-1202
Phone
(385) 375-6555
Fax
(385) 375-6563
NPI assigned
Mar 26, 2024
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NOMI HEALTH INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Justin Scott BrynerNPI 1093005746
Title
Sr Director, Pharmacy
Phone
(385) 375-6453

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

3696 W 2100 S
Salt Lake City, UT 84120-1202

Mailing address

3696 W 2100 S
Salt Lake City, UT 84120-1202
Phone (385) 375-6555

National Provider Directory

National Provider Directory
Tax ID family
Nomi Pharma LLC3 organizations share this tax ID, including this one
Part of
Nomi Health Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1760232169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 W 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841201202",
            "telephone_number": "385-375-6555",
            "fax_number": "385-375-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3696 W 2100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841201202",
            "telephone_number": "385-375-6555",
            "fax_number": "385-375-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMI PHARMA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOMI HEALTH INC.",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "BRYNER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SR DIRECTOR, PHARMACY",
        "authorized_official_telephone_number": "385-375-6453"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.