Organization Active NPI

Global Medical Therapeutics Inc

  • Community/Retail Pharmacy
  • Salt Lake City, UT
National Provider Identifier
1790157261
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10923754-1703 Issued in UT
Legal business name
GLOBAL MEDICAL THERAPEUTICS INC
Doing business as
Global Medical Therapeutics, Inc
Practice address
1890 S 3850 W Ste 121-a
Salt Lake City, UT 84104
Phone
(801) 935-4305
Fax
(801) 953-0908
NPI assigned
Oct 23, 2015
Last updated
Jan 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Maysam MortazaviNPI 1053748194
Title
Pharmacist in Charge
Phone
(801) 518-1327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Community/Retail Pharmacy 3336C0003X 10923754-1703 UT Primary

Addresses

Primary practice location

1890 S 3850 W Ste 121-a
Salt Lake City, UT 84104

Mailing address

1890 S 3850 W Ste 121-a
Salt Lake City, UT 84104-4909
Phone (801) 935-4305

Other identifiers 1

IdentifierTypeStateIssuer
2155240OtherPK

Other names 1

  • GLOBAL MEDICAL THERAPEUTICS, INC Doing business as

National Provider Directory

National Provider Directory

Locations

9275 Trade Pl
Ste H
San Diego, CA 92126

1890 S 3850 W
#121A
Salt Lake City, UT 84104
Phone (801) 935-4305

1890 S 3850 W
Ste 121A
Salt Lake City, UT 84104
Phone (801) 935-4305

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1790157261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 S 3850 W STE 121-A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841044909",
            "telephone_number": "801-935-4305",
            "fax_number": "801-953-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S 3850 W STE 121-A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84104",
            "telephone_number": "801-935-4305",
            "fax_number": "801-953-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL MEDICAL THERAPEUTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "MORTAZAVI",
        "authorized_official_first_name": "MAYSAM",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "801-518-1327"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "10923754-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155240",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLOBAL MEDICAL THERAPEUTICS, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GLOBAL MEDICAL THERAPEUTICS, INC",
            "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 Jan 21, 2020; 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.