Individual provider Active NPI

Richard Omer Plothow

  • Pharmacist
  • Pleasant Grove, UT
National Provider Identifier
1811548209
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
316961-1701 Issued in UT
Practice address
892 E 1190 N # 892E
Pleasant Grove, UT 84062-1999
Phone
(801) 796-9302
NPI assigned
Sep 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 316961-1701 UT Primary

Addresses

Primary practice location

892 E 1190 N # 892E
Pleasant Grove, UT 84062-1999

Mailing address

892 E 1190 N # 892E
Pleasant Grove, UT 84062-1999
Phone (801) 857-7590

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
316961-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1811548209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 E 1190 N # 892E",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840621999",
            "telephone_number": "801-857-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 E 1190 N # 892E",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840621999",
            "telephone_number": "801-796-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTHOW",
        "first_name": "RICHARD",
        "middle_name": "OMER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "316961-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.