Individual provider Active NPI

Akram Refaat, RPH

  • Pharmacist
  • Salt Lake City, UT
National Provider Identifier
1962019703
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11111719-1701 Issued in UT
Practice address
1702 S 1100 E
Salt Lake City, UT 84105-3424
Phone
(801) 484-4393
Fax
(801) 484-8677
NPI assigned
Sep 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11111719-1701 UT Primary

Addresses

Primary practice location

1702 S 1100 E
Salt Lake City, UT 84105-3424

Mailing address

1702 S 1100 E
Salt Lake City, UT 84105-3424
Phone (801) 484-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
11111719-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jolley Comp and Specialty Pham PastSince Sep 27, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1962019703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053424",
            "telephone_number": "801-484-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053424",
            "telephone_number": "801-484-4393",
            "fax_number": "801-484-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFAAT",
        "first_name": "AKRAM",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "11111719-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.