Active NPI
Pamela McCarthy
- Pharmacist
- Sandy, UT
National Provider Identifier
1902287451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12403886
- Practice address
- 10130 S State St
Sandy, UT 84070-4118 - Phone
- (801) 255-3101
- NPI assigned
- Jun 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18649 | AL | |
| Pharmacist | 183500000X | 83097 | CA | |
| Pharmacist | 183500000X | 12403886 | UT | Primary |
Addresses
Primary practice location
10130 S State St
Sandy, UT 84070-4118
Mailing address
10130 S State St
Sandy, UT 84070-4118
Phone (801) 255-3101
Other practice location 1
1150 El Camino Real
San Bruno, CA 94066-2420
Phone (650) 825-2115
Other practice location 2
5001 Junipero Serra Blvd
Colma, CA 94014-3217
Phone (650) 992-8433
Other practice location 3
4616 Highway 280
Birmingham, AL 35242-5028
Phone (205) 991-6248
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 |
|---|---|---|---|
| 18649 | AL | MD | Pharmacist |
| 12403886 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664582400000",
"number": "1902287451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10130 S STATE ST",
"city": "SANDY",
"state": "UT",
"postal_code": "840704118",
"telephone_number": "801-255-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10130 S STATE ST",
"city": "SANDY",
"state": "UT",
"postal_code": "840704118",
"telephone_number": "801-255-3101"
}
],
"practiceLocations": [
{
"address_1": "1150 El Camino Real",
"address_purpose": "LOCATION",
"city": "San Bruno",
"state": "CA",
"postal_code": "940662420",
"country_code": "US",
"telephone_number": "650-825-2115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5001 Junipero Serra Blvd",
"address_purpose": "LOCATION",
"city": "Colma",
"state": "CA",
"postal_code": "940143217",
"country_code": "US",
"telephone_number": "650-992-8433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4616 Highway 280",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352425028",
"country_code": "US",
"telephone_number": "205-991-6248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCARTHY",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-10",
"last_updated": "2022-10-01",
"certification_date": "2022-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "18649",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83097",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "12403886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.