Individual provider Active NPI

David Zachary Rittenhouse

  • Pharmacist
  • Provo, UT
National Provider Identifier
1871958892
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
178350111 Issued in UT
Practice address
1015 N 1550 W
Provo, UT 84604-3014
Phone
(385) 625-7713
NPI assigned
Dec 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 178350111 UT Primary

Addresses

Primary practice location

1015 N 1550 W
Provo, UT 84604-3014

Mailing address

1015 N 1550 W
Provo, UT 84604-3014
Phone (385) 625-7713

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

LicenseStateTypeSpecialty
178350111UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1871958892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N 1550 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043014",
            "telephone_number": "385-625-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N 1550 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043014",
            "telephone_number": "385-625-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTENHOUSE",
        "first_name": "DAVID",
        "middle_name": "ZACHARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "178350111",
            "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 Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.