Individual provider Active NPI

Lisa D Burrup, PHARM.D

  • Pharmacist
  • Salt Lake City, UT
National Provider Identifier
1881734101
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49613141701 Issued in UT
Practice address
1295 Miller Ave Ste 6
Salt Lake City, UT 84106-4401
Phone
(801) 485-9281
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 49613141701 UT Primary

Addresses

Primary practice location

1295 Miller Ave Ste 6
Salt Lake City, UT 84106-4401

Mailing address

1295 Miller Ave Ste 6
Salt Lake City, UT 84106-4401
Phone (801) 485-9281

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
49613141701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rice Family Pharmacy LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881734101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 MILLER AVE STE 6",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064401",
            "telephone_number": "801-485-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 MILLER AVE STE 6",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064401",
            "telephone_number": "801-485-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRUP",
        "first_name": "LISA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "49613141701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, 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.

Verify at the official NPI Registry.