Active NPI
SP Care LLC
- Long Term Care Pharmacy
- St. George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 94262441704
- Legal business name
- SP CARE LLC
- Practice address
- 291 E 1400 S Ste 4
St. George, UT 84790 - Phone
- (435) 703-2273
- Fax
- (435) 703-2274
- NPI assigned
- Oct 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Jones
- Title
- Member
- Phone
- (435) 817-5559
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Institutional Pharmacy | 3336I0012X | |||
| Long Term Care Pharmacy | 3336L0003X | 94262441704 | UT | Primary |
| Managed Care Organization Pharmacy | 3336M0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
291 E 1400 S Ste 4
St. George, UT 84790
Mailing address
291 E 1400 S Ste 4
St. George, UT 84790
Phone (435) 703-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147713 | Other | PK |
Other names 1
- C3 Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210204000747 | UT | Part B Supplier - Pharmacy | 5193009082 | Practice locations: Saint George, UT |
| O20210205000941 | UT | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193009082 | Practice locations: St George, UT |
National Provider Directory
National Provider DirectoryLocations
291 E 1400 S
Ste 4
St George, UT 84790
Phone (435) 703-2273
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community/Retail Pharmacy
- St George, UT
- NPI 1356251607
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- St George, UT
- NPI 1548543192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745539200000",
"number": "1922401256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 E 1400 S STE 4",
"city": "ST. GEORGE",
"state": "UT",
"postal_code": "84790",
"telephone_number": "435-703-2273",
"fax_number": "435-703-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 E 1400 S STE 4",
"city": "ST. GEORGE",
"state": "UT",
"postal_code": "84790",
"telephone_number": "435-703-2273",
"fax_number": "435-703-2274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SP CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-01",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "435-817-5559"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "UT",
"license": "94262441704",
"primary": true
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2147713",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "C3 Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "C3 Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St. George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.