Organization Active NPI

Midway Family Pharmacy PC

  • Community/Retail Pharmacy
  • Midway, UT
National Provider Identifier
1841954005
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MIDWAY FAMILY PHARMACY PC
Practice address
210 E Main St Ste 113
Midway, UT 84049-6828
Phone
(435) 315-3936
Fax
(435) 777-5142
NPI assigned
Oct 25, 2021
Last updated
Feb 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Dr. Ryan Dean Swensen, PHARMDNPI 1639479678
Title
Owner/Pharmacist
Phone
(801) 209-7457

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

210 E Main St Ste 113
Midway, UT 84049-6828

Mailing address

1341 W Marinwood Ave
Taylorsville, UT 84123-4369
Phone (801) 209-7457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221006000867 UT Part B Supplier - Pharmacy 5991181448 Practice locations: Midway, UT

National Provider Directory

National Provider Directory

Locations

210 E Main St
Ste 113
Midway, UT 84049
Phone (435) 315-3936

Practitioners & affiliated clinicians

Practitioners 1

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": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1841954005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 W MARINWOOD AVE",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841234369",
            "telephone_number": "801-209-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MAIN ST STE 113",
            "city": "MIDWAY",
            "state": "UT",
            "postal_code": "840496828",
            "telephone_number": "435-315-3936",
            "fax_number": "435-777-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY FAMILY PHARMACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "SWENSEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "801-209-7457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midway, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.