NPIMap

Organization Active NPI

Ihc Health Services Inc

Doing business as Intermountain North Orem Pharmacy

  • Clinic Pharmacy
  • Orem, UT
National Provider Identifier
1902074792
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
67524041703 Issued in UT
Legal business name
IHC HEALTH SERVICES INC
Doing business as
Intermountain North Orem Pharmacy
Practice address
1975 N State St
Orem, UT 84057-2028
Phone
(801) 714-5500
Fax
(801) 714-5511
NPI assigned
Feb 14, 2008
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Darryl Wagner, RPH
Title
Outpt Phcy Mang
Phone
(801) 442-3903

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 67524041703 UT Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1975 N State St
Orem, UT 84057-2028

Mailing address

PO Box 30013
Salt Lake City, UT 84130-0013

Other names 1

  • INTERMOUNTAIN NORTH OREM PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ut Valley Med Ctr Pharm499 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1902074792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30013",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572028",
            "telephone_number": "801-714-5500",
            "fax_number": "801-714-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "OUTPT PHCY MANG",
        "authorized_official_telephone_number": "801-442-3903",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "UT",
            "license": "67524041703",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERMOUNTAIN NORTH OREM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.