Premier Care Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PREMIER CARE PHARMACY

Practice address

863 N 980 W
Orem, UT 84057-7710

Phone

(801) 607-2138

Fax

(801) 225-2388

NPI assigned

Mar 3, 2015

Organization subpart

No

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

Authorized official

Name

Gary Lynn NakkenNPI 1811388705

Title

Owner/RPH

Phone

(801) 607-2138

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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

• Gary Nakken

  • Pharmacist
  • Orem, UT
  • NPI 1811388705
  NPD Authorized official
• Aaron Nakken, PHARM D

  • Pharmacist
  • Orem, UT
  • NPI 1811652258
  NPD

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1962894758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 N 980 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840577710",
            "telephone_number": "801-607-2138",
            "fax_number": "801-225-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N 980 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840577710",
            "telephone_number": "801-607-2138",
            "fax_number": "801-225-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "NAKKEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "801-607-2138"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962894758",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1962894758",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Denton Powner, MS
• Hayden Paul Poyfair
• Alex Jay Pratt, LAMFT
• Mitchell K Pratte, DO
• Annalisa Prawitt
• Prestige Rehab Ut PLLC
• Prestige Smiles
• Lindsey Preston, CSW
• Prevail Counseling PLLC
• Ella Price

• Long Term Care Pharmacy in Orem, UT
• Providers in Orem, UT by specialty
• Long Term Care Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.