Cold Front Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

8955799-1703 Issued in UT

Legal business name

COLD FRONT PHARMACY

Practice address

2332 W 12600 S
Ste 2B
Riverton, UT 84065-7161

Phone

(801) 350-1674

NPI assigned

Mar 12, 2014

Last updated

Apr 22, 2014By 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

Mr. Lucas N HendricksNPI 1053735258

Title

Owner

Phone

(801) 350-1674

Specialties & licenses 1

Addresses

Locations

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.

• Lucas N Hendricks

  • Pharmacy Technician
  • Salt Lake City, UT
  • NPI 1053735258
  Authorized official Same address or phone

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1760808919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 W 12600 S",
            "address_2": "STE 2B",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657161",
            "telephone_number": "801-574-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 W 12600 S",
            "address_2": "STE 2B",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657161",
            "telephone_number": "801-350-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLD FRONT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-350-1674",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "8955799-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Riverton, UT
• Providers in Riverton, UT by specialty
• Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.