Roger E Killpack, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

148723-1701 Issued in UT

Practice address

215 W Main St
Delta, UT 84624-9257

Phone

(435) 864-2545

Fax

(435) 864-5925

NPI assigned

Jan 18, 2007

Last updated

Apr 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Service Drug Company Inc

  dba Service Drug LTC

  • Long Term Care Pharmacy
  • Delta, UT
  • NPI 1326740705
  Authorized official Same address or phone
• Service Drug Company Inc

  • Community/Retail Pharmacy
  • Delta, UT
  • NPI 1528089570
  Authorized official Same address or phone

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1902958952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W MAIN ST",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846249257",
            "telephone_number": "435-864-2545",
            "fax_number": "435-864-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MAIN ST",
            "city": "DELTA",
            "state": "UT",
            "postal_code": "846249257",
            "telephone_number": "435-864-2545",
            "fax_number": "435-864-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLPACK",
        "first_name": "ROGER",
        "middle_name": "E",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "148723-1701",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "329033-1703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ihc Health Services, Inc. (Intermountain Health Delta Community Hospital)
• Jamie Ipson, PTA
• Mylisa Jacobson, CCC-SLP
• Robert Preston Keel, PA-C
• Nicholas Ward Killpack, PHARMD
• Dustin Kunz
• Mandy Lynn Lemmon, FNP
• Robert Bennion Lloyd, CSW
• Lovell Pharmacy LLC (Lovell Pharmacy)
• Karen L Malin, TRT

• Pharmacist in Delta, UT
• Providers in Delta, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.