Birch Pharmaceutical LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BIRCH PHARMACEUTICAL LLC

Doing business as

Birch Family Pharmacy

Practice address

6727 N. Hwy 36
Tooele, UT 84074

Phone

(435) 882-8880

Fax

(435) 882-8881

NPI assigned

Jul 18, 2011

Last updated

Aug 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheldon Birch, PHARMD

Title

Owner

Phone

(435) 882-7775

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Birch Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1861780439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4776 N AUTUMNCOVE",
            "city": "ERDA",
            "state": "UT",
            "postal_code": "840749372",
            "telephone_number": "435-882-8880",
            "fax_number": "435-882-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 N. HWY 36",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "84074",
            "telephone_number": "435-882-8880",
            "fax_number": "435-882-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH PHARMACEUTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-882-7775",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "8055593-1703",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861780439",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "6713400001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4612049",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birch Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Birch Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Joan Bennett, LCSW
• Christopher John Bereshnyi, CSW
• Anthony Bersamen
• Christopher L Bevan
• Birch Family Clinical Services LLC
• Sheldon B Birch, PHARM. D.
• Jamie Bird
• John Lyman Bishop, DMD
• Cristi Bissegger-Cozad, APRN
• George Alva Blackburn, CMHC

• Community/Retail Pharmacy in Tooele, UT
• Providers in Tooele, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.