Alpine Apothecary, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

9066325-1703 Issued in UT

Legal business name

ALPINE APOTHECARY, LLC

Doing business as

Alpine Apothecary

Practice address

1675 Redstone Center Dr Ste 125
Park City, UT 84098-7617

Phone

(435) 615-0070

Fax

(435) 615-7067

NPI assigned

Jan 10, 2010

Organization subpart

No

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

Authorized official

Name

Karin Carestia

Title

Pharmacist

Phone

(435) 615-0070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alpine Apothecary Doing business as

Locations

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

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1912237272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 REDSTONE CENTER DR",
            "address_2": "STE 125",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987608",
            "telephone_number": "435-615-0070",
            "fax_number": "435-615-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 REDSTONE CENTER DR STE 125",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987617",
            "telephone_number": "435-615-0070",
            "fax_number": "435-615-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE APOTHECARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-10",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "CARESTIA",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "435-615-0070"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "UT",
            "license": "9066325-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124975",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Park City, UT
• Providers in Park City, UT by specialty
• Compounding Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.