NPIMap

Organization Active NPI

Central Valley Medical Center

Doing business as Central Valley Community Pharmacy

  • Community/Retail Pharmacy
  • Nephi, UT
National Provider Identifier
1902825854
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
62330861703 Issued in UT
Legal business name
CENTRAL VALLEY MEDICAL CENTER
Doing business as
Central Valley Community Pharmacy
Practice address
152 W 1500 N
Nephi, UT 84648-5520
Phone
(435) 623-3700
Fax
(435) 623-3704
NPI assigned
Jul 19, 2006
Last updated
Dec 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Brent Davis, RPH
Title
Cfo
Phone
(435) 623-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 62330861703 UT Primary

Addresses

Primary practice location

152 W 1500 N
Nephi, UT 84648-5520

Mailing address

PO Box 412
Nephi, UT 84648-0412

Other identifiers 1

IdentifierTypeStateIssuer
2100851OtherPK

Other names 1

  • CENTRAL VALLEY COMMUNITY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brian Kartchner7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1902825854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412",
            "city": "NEPHI",
            "state": "UT",
            "postal_code": "846480412",
            "fax_number": "435-623-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 W 1500 N",
            "city": "NEPHI",
            "state": "UT",
            "postal_code": "846485520",
            "telephone_number": "435-623-3700",
            "fax_number": "435-623-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "435-623-3000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "62330861703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2100851",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL VALLEY COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nephi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.