Active NPI
Nathan Trent Ostvig, CPHT
- Pharmacy Technician
- South Salt Lake, UT
National Provider Identifier
1861004756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 9759811-1717
- Practice address
- 3270 S 1300 E
South Salt Lake, UT 84106-3008 - Phone
- (801) 487-5461
- NPI assigned
- Aug 20, 2020
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 9759811-1717 | UT | Primary |
Addresses
Primary practice location
3270 S 1300 E
South Salt Lake, UT 84106-3008
Mailing address
3540 S 4000 W
West Valley City, UT 84120-3260
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9759811-1717 | UT | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmon City Inc | Current | Accepting new patients | |
| Harmon City Inc | Past | Accepting new patients |
Locations
3270 S 1300 E
South Salt Lake, UT 84106
Phone (801) 461-3593
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Salt Lake City, UT
- NPI 1902819832
-
- Community/Retail Pharmacy
- South Jordan, UT
- NPI 1740940329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1861004756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 S 4000 W",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841203260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3270 S 1300 E",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841063008",
"telephone_number": "801-487-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTVIG",
"first_name": "NATHAN",
"middle_name": "TRENT",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "UT",
"license": "9759811-1717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.