Active NPI
Donald Ray Polster, RPH
- Pharmacist
- Price, UT
National Provider Identifier
1912090648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 140198-1701
- Practice address
- 300 N Hospital Dr
Price, UT 84501-4200 - Phone
- (435) 637-4800
- Fax
- (435) 636-4819
- NPI assigned
- Oct 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 140198-1701 | UT | Primary |
Addresses
Primary practice location
300 N Hospital Dr
Price, UT 84501-4200
Mailing address
1467 S 1375 W
Price, UT 84501-4437
Phone (435) 637-1557
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140198-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912090648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1467 S 1375 W",
"city": "PRICE",
"state": "UT",
"postal_code": "845014437",
"telephone_number": "435-637-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N HOSPITAL DR",
"city": "PRICE",
"state": "UT",
"postal_code": "845014200",
"telephone_number": "435-637-4800",
"fax_number": "435-636-4819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLSTER",
"first_name": "DONALD",
"middle_name": "RAY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "140198-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Price, 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.