Active NPI
Craig S Swenson, RPH
- Pharmacist
- Provo, UT
National Provider Identifier
1851440879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 144338-1701
- Practice address
- 1750 North Wymount Terrace Drive
Provo, UT 84602 - Phone
- (801) 422-5171
- Fax
- (801) 422-0812
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 144338-1701 | UT | Primary |
Addresses
Primary practice location
1750 North Wymount Terrace Drive
Provo, UT 84602
Mailing address
315 S Maple Dr
Woodland Hills, UT 84653-2016
Phone (801) 422-5171
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144338-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851440879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S MAPLE DR",
"city": "WOODLAND HILLS",
"state": "UT",
"postal_code": "846532016",
"telephone_number": "801-422-5171",
"fax_number": "801-422-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 NORTH WYMOUNT TERRACE DRIVE",
"city": "PROVO",
"state": "UT",
"postal_code": "84602",
"telephone_number": "801-422-5171",
"fax_number": "801-422-0812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "CRAIG",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "144338-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.