Lisa Ann Bullough, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

144972 Issued in UT

Practice address

3555 W 3500 S
West Valley City, UT 84119-2539

Phone

(801) 963-6874

Fax

(801) 965-9953

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Ann Robinson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942411285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5681 SIERRA GRANDE DR",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841182668",
            "telephone_number": "801-964-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192539",
            "telephone_number": "801-963-6874",
            "fax_number": "801-965-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOUGH",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "144972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ROBINSON",
            "middle_name": "ANN",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Thomas Karl Broadbent
• Jonathan David Brower
• Todd E Brown, PT
• Kyla Brownell
• Paul Christian Bruderer, O.D.
• Melissa Burgos
• William H Burleigh, DPM
• Niel Burnett
• Rebecca L Burrage, APRN
• James Douglas Burrows, M.D., FRCS (C)

• Pharmacist in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Pharmacist in Utah

• 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.

Verify at the official NPI Registry.