Spence'S Prescription Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1306421703 Issued in UT

Legal business name

SPENCE'S PRESCRIPTION PHARMACY

Practice address

981 S Main St
Logan, UT 84321-6053

Phone

(435) 752-1111

Fax

(435) 752-7211

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Spencer J. Klomp, RPH

Title

Owner

Phone

(435) 753-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891728606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412406",
            "telephone_number": "435-752-1111",
            "fax_number": "435-752-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 S MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216053",
            "telephone_number": "435-752-1111",
            "fax_number": "435-752-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCE'S PRESCRIPTION PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLOMP",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-753-8500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "1306421703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870343085012",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Elizabeth Souza, MD
• Madison Spainhower, DPT
• Kimberly Spear, SSW
• Specialty Sales & Service
• Specialty Sales & Service
• Spence'S Prescription Pharmacy Inc
• Carrie Spencer, RN
• Danny E Spencer, DO
• Wesley Daniel Spencer
• Chad B Speth, FNP

• Community/Retail Pharmacy in Logan, UT
• Providers in Logan, 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 Aug 22, 2020; 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.