NPIMap

Organization Active NPI

University of Utah South Jordan Mail Order Pharmacy

  • Mail Order Pharmacy
  • South Jordan, UT
National Provider Identifier
1821286691
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
5546220-1703 Issued in UT
Legal business name
UNIVERSITY OF UTAH SOUTH JORDAN MAIL ORDER PHARMACY
Practice address
1091 W South Jordan Pkwy
South Jordan, UT 84095-8820
Phone
(801) 213-9850
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Michael Kelly, RPHNPI 1578560892
Title
Pharmacy Director
Phone
(801) 587-6325

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 5546220-1703 UT Primary

Addresses

Primary practice location

1091 W South Jordan Pkwy
South Jordan, UT 84095-8820

Mailing address

127 S 500 E
Suite 160
Salt Lake City, UT 84102-1959
Phone (801) 587-6322

National Provider Directory

National Provider Directory
Tax ID family
Bruce D Etringer PHD54 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations

127 S 500 E
Ste 160
Slc, UT 84102
Phone (801) 587-6311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1821286691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S 500 E",
            "address_2": "SUITE 160",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021959",
            "telephone_number": "801-587-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 W SOUTH JORDAN PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958820",
            "telephone_number": "801-213-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF UTAH SOUTH JORDAN MAIL ORDER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "801-587-6325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "UT",
            "license": "5546220-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.