Organization Active NPI

Vyv RX LLC

Doing business as Vyv RX

  • Compounding Pharmacy
  • Brigham City, UT
National Provider Identifier
1770478265
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
VYV RX LLC
Doing business as
Vyv RX
Practice address
1050 S Medical Dr Ste 102
Brigham City, UT 84302-4715
Phone
(435) 232-5534
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Andrew Cannon, PHARMD
Title
Member/Pharmacist
Phone
(801) 633-7974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

1050 S Medical Dr Ste 102
Brigham City, UT 84302-4715

Mailing address

1017 Medical Dr
Brigham City, UT 84302-3049

Other names 1

  • Vyv RX Doing business as

National Provider Directory

National Provider Directory

Locations

1050 S Medical Dr
Ste 102
Brigham City, UT 84302
Phone (435) 232-5534

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1770478265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 MEDICAL DR",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S MEDICAL DR STE 102",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024715",
            "telephone_number": "435-232-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VYV RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MEMBER/PHARMACIST",
        "authorized_official_telephone_number": "801-633-7974",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vyv RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.