Active NPI
Kyle Kitchen
- Pharmacist
- Roy, UT
National Provider Identifier
1891890091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 500521-1701
- Practice address
- 1915 W 5950 S
Roy, UT 84067-1454 - Phone
- (801) 387-8215
- Fax
- (801) 387-8245
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 500521-1701 | UT | Primary |
Addresses
Primary practice location
1915 W 5950 S
Roy, UT 84067-1454
Mailing address
1480 W 1075 S
Layton, UT 84041-7772
Phone (801) 593-5528
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 500521-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891890091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 W 1075 S",
"city": "LAYTON",
"state": "UT",
"postal_code": "840417772",
"telephone_number": "801-593-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 W 5950 S",
"city": "ROY",
"state": "UT",
"postal_code": "840671454",
"telephone_number": "801-387-8215",
"fax_number": "801-387-8245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHEN",
"first_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "500521-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roy, 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.