NPIMap

Organization Active NPI

Professional Pharmacy Services

  • Long Term Care Pharmacy
  • Salt Lake City, UT
National Provider Identifier
1770525552
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
66379161704 Issued in UT
Legal business name
PROFESSIONAL PHARMACY SERVICES
Practice address
3793 S State St
Salt Lake City, UT 84115-4828
Phone
(801) 263-5466
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Authorized official

Name
Marc Cohen, PHARM D
Title
Pres
Phone
(801) 743-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 66379161704 UT Primary

Addresses

Primary practice location

3793 S State St
Salt Lake City, UT 84115-4828

Mailing address

3793 S State St
Salt Lake City, UT 84115-4828
Phone (801) 263-5466

Other identifiers 1

IdentifierTypeStateIssuer
4610398OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PROFESSIONAL PHARMACY SERVICES LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1770525552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3793 S STATE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841154828",
            "telephone_number": "801-263-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3793 S STATE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841154828",
            "telephone_number": "801-263-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "801-743-2800",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "UT",
            "license": "66379161704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4610398",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL PHARMACY SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2009; 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.