Individual provider Active NPI

Daniel Feltch

  • Pharmacist
  • Vernal, UT
National Provider Identifier
1770235574
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8416100-1701 Issued in UT
Practice address
1851 W Highway 40
Vernal, UT 84078-4125
Phone
(435) 789-9787
Fax
(435) 789-1310
NPI assigned
Jan 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8416100-1701 UT Primary

Addresses

Primary practice location

1851 W Highway 40
Vernal, UT 84078-4125

Mailing address

375 E 2900 S
Vernal, UT 84078-8857
Phone (801) 358-4126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8416100-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1770235574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E 2900 S",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840788857",
            "telephone_number": "801-358-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840784125",
            "telephone_number": "435-789-9787",
            "fax_number": "435-789-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTCH",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "8416100-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.