K and a Holdings

Primary specialty

PharmacyTaxonomy code 333600000X

License

891318371703 Issued in UT

Legal business name

K AND A HOLDINGS

Practice address

4658 Holladay Blvd
Salt Lake City, UT 84117-5209

Phone

(801) 277-2696

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Kerry Brown, RPH

Title

Owner

Phone

(801) 877-2696

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• OLYMPUS PHARMACY Doing business as

Tax ID family

K and a Holdings2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• K&a Holdings

  • Compounding Pharmacy
  • Holladay, UT
  • NPI 1023234093
  NPD tax ID

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1891700498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4658 HOLLADAY BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175209",
            "telephone_number": "801-277-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4658 HOLLADAY BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175209",
            "telephone_number": "801-277-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND A HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-877-2696",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "891318371703",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4606868",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870464330007",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLYMPUS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Russell Junkins, M.D.
• Lena Juratli, MD
• Kevin Jurgensmeier, MD
• Trevor Jurges, DO
• JW Cendese, PC
• Kab Inc
• Lulu Kablawi, DPT
• Carl Kablitz, MD
• Madeline K Kachocki
• Jamie Kaczmarek, LCSW

• All providers in Salt Lake City, UT
• Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.