Jearold W Yack, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

1437271701 Issued in UT

Practice address

11100 Auto Mall Dr
Sandy, UT 84070-4171

Phone

(801) 790-0002

Fax

(801) 790-0009

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1760602148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 AUTO MALL DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704171",
            "telephone_number": "801-790-0002",
            "fax_number": "801-790-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 AUTO MALL DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704171",
            "telephone_number": "801-790-0002",
            "fax_number": "801-790-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACK",
        "first_name": "JEAROLD",
        "middle_name": "W",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "1437271701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Mark Woolley, D.C.
• Riley Worth, NP
• Amber Dawn Wright, PA-C
• Carrie Maxwell Wrigley, LCSW
• Courtney Ann Wyatt, LMFT
• Melissa A Yardley
• Sola Yeager, MS, LAT, ATC
• Carlie Ann Yearsley, CNM, WHNP
• James B Yee, MD
• Kelsey Anne Yoakum, LCSW

• Pharmacist in Sandy, UT
• Providers in Sandy, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.