Jolene Mary Kirk, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

147215-1701 Issued in UT

Practice address

3470 E 7800 S
Salt Lake City, UT 84121-5803

Phone

(801) 943-0177

Fax

(801) 944-1253

NPI assigned

Oct 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Smiths Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Salt Lake City, UT
  • NPI 1225053853
  NPD (past)
• Smith'S Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1891339313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 E 7800 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215803",
            "telephone_number": "801-943-0177",
            "fax_number": "801-944-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 E 7800 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215803",
            "telephone_number": "801-943-0177",
            "fax_number": "801-944-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "JOLENE",
        "middle_name": "MARY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "147215-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Margaret Kirby, APRN MS FNP-C
• Amy Tremain Kirk, M.D.
• Bonnie B Kirk
• Brian Howard Kirk, MD
• Evan Joshua Kirk
• Steven Lee Kirkegaard, PHARMD
• Addy Kirkham
• Cynthia Kirkham, CMHC
• Hannah Lee Kirking, MD
• Joshua Jeff Kirkpatrick, MD

• Pharmacist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.