Midway Family Pharmacy PC – Community/Retail Pharmacy

Key facts

NPI: 1841954005
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 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
Organization subpart: No

Authorized official

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

Practitioners 1

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

Ryan Dean Swensen, PHARM.D Pharmacist · West Jordan, UT · NPI 1639479678

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in UT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20221006000867	UT	Part B Supplier - Pharmacy	5991181448	Practice locations: Midway, UT

National Provider Directory

Locations

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X			Yes

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

Other providers in Midway, UT

All providers in Midway, UT · Community/Retail Pharmacy in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.