NPIMap

Organization Active NPI

Uhs of Provo Canyon Inc

Doing business as Provo Canyon Pharmacy

  • Long Term Care Pharmacy
  • Orem, UT
National Provider Identifier
1912341256
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
83428331704 Issued in UT
Legal business name
UHS OF PROVO CANYON INC
Doing business as
Provo Canyon Pharmacy
Practice address
1350 E 750 N
Orem, UT 84097-4345
Phone
(801) 852-3859
Fax
(801) 227-2199
NPI assigned
Apr 17, 2013
Last updated
Mar 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Steve Hight
Title
Pharmacy Director
Phone
(801) 852-3859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 83428331704 UT Primary

Addresses

Primary practice location

1350 E 750 N
Orem, UT 84097-4345

Mailing address

1350 E 750 N
Orem, UT 84097-4345
Phone (801) 852-3859

Other identifiers 1

IdentifierTypeStateIssuer
2139426OtherPK

Other names 1

  • Provo Canyon Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Universal Healthservices Inc7 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.

Locations

1350 E 750 N
Orem, UT 84097
Phone (801) 229-1036

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1912341256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E 750 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974345",
            "telephone_number": "801-852-3859",
            "fax_number": "801-227-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E 750 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974345",
            "telephone_number": "801-852-3859",
            "fax_number": "801-227-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF PROVO CANYON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "HIGHT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "801-852-3859"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "UT",
            "license": "83428331704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139426",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provo Canyon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.