Active NPI
Roe RX Inc
Doing business as Canyon View Health Mart Pharmacy
- Community/Retail Pharmacy
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 70031191703
- Legal business name
- ROE RX INC
- Doing business as
- Canyon View Health Mart Pharmacy
- Practice address
- 698 12TH St
Ogden, UT 84404-6200 - Phone
- (801) 475-3795
- Fax
- (801) 475-3799
- NPI assigned
- Jul 29, 2008
- Last updated
- Mar 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hal Roe
- Title
- Owner
- Phone
- (801) 698-2497
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | 70031191703 | UT | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
698 12TH St
Ogden, UT 84404-6200
Mailing address
1378 W 1800 N
Ogden, UT 84404-2826
Phone (801) 698-2497
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2116337 | Other | PK | |
| 1871758987 | Medicaid | UT |
Other names 1
- CANYON VIEW HEALTH MART PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201013002983 | UT | Part B Supplier - Pharmacy | 2365569894 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clinton, UT; Eden, UT; Farr West, UT; Ogden, UT; Pleasant View, UT; West Point, UT |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Valley Health
- Community/Retail Pharmacy
- Eden, UT
- NPI 1346253515
O20201013002983
-
dba Ogden Clinic Health Mart Pharmacy
- Community/Retail Pharmacy
- Ogden, UT
- NPI 1235394347
O20201013002983
-
dba Roe Family Lake View Pharmacy
- Community/Retail Pharmacy
- West Point, UT
- NPI 1235751900
O20201013002983
-
dba Roe Family MedPac LTC
- Long Term Care Pharmacy
- Farr West, UT
- NPI 1518486349
O20201013002983
-
dba Mountain View Health Mart
- Community/Retail Pharmacy
- Pleasant View, UT
- NPI 1730370479
O20201013002983
-
dba Roe Family Health Mart Pharmacy
- Community/Retail Pharmacy
- Washington Terrace, UT
- NPI 1881119469
O20201013002983
-
dba Westside Health Mart
- Community/Retail Pharmacy
- Clinton, UT
- NPI 1912376849
O20201013002983
National Provider Directory
National Provider Directory- Tax ID family
- Ok Pharmacy Inc
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Roe Family Lake View Pharmacy
- Community/Retail Pharmacy
- West Point, UT
- NPI 1235751900
-
dba Roe Family Health Mart Pharmacy
- Community/Retail Pharmacy
- Washington Terrace, UT
- NPI 1881119469
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.
-
- Pharmacist
- Ogden, UT
- NPI 1245372523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647302400000",
"number": "1871758987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1378 W 1800 N",
"city": "OGDEN",
"state": "UT",
"postal_code": "844042826",
"telephone_number": "801-698-2497",
"fax_number": "801-737-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 12TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844046200",
"telephone_number": "801-475-3795",
"fax_number": "801-475-3799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROE RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-29",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A",
"authorized_official_last_name": "ROE",
"authorized_official_first_name": "HAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-698-2497"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "UT",
"license": "70031191703",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2116337",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871758987",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CANYON VIEW HEALTH MART PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CANYON VIEW HEALTH MART PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.