TMJ Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5810687-1703 Issued in UT

Legal business name

TMJ INC

Practice address

8806 S Redwood Rd
West Jordan, UT 84088-9337

Phone

(801) 747-7500

Fax

(801) 747-7504

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Tad JolleyNPI 1669582045

Title

Owner

Phone

(801) 757-7500

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tad Henry Jolley, RPH

  • Pharmacist
  • West Jordan, UT
  • NPI 1669582045
  NPD Authorized official
• Miranda Marsh Wootton

  • Pharmacist
  • West Jordan, UT
  • NPI 1336606953
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1891715496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 S REDWOOD RD",
            "address_2": "SUITE 102",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889337",
            "telephone_number": "801-747-7500",
            "fax_number": "801-747-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8806 S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889337",
            "telephone_number": "801-747-7500",
            "fax_number": "801-747-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "TAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-757-7500"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "5810687-1703",
            "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": "2100830",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Lynn Thurgood, PHARMD
• Jacob Timmins
• Roger Tingey
• Heber Tippetts, LCSW
• Mary D Tipton, MD
• Paul Hoang To, PHARMD
• Illiana Noemi Toledo
• Rachel Tollestrup
• Tom C. Zimmermann, D.D.S., P.C.
• Taylor Riley Tomlinson

• Community/Retail Pharmacy in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.

Verify at the official NPI Registry.