Organization Active NPI

SP Care LLC

  • Long Term Care Pharmacy
  • St. George, UT
National Provider Identifier
1922401256
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
94262441704 Issued in UT
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

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Kenneth JonesNPI 1548543192
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2147713OtherPK

Other names 1

  • C3 Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.