Active NPI
Adam Scott Matlock, PHARMD
- Pharmacist
- Taylorsville, UT
National Provider Identifier
1972240778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12341254-1701
- Practice address
- 4040 W 5415 S
Taylorsville, UT 84118 - Phone
- (801) 982-1912
- NPI assigned
- May 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12341254-1701 | UT | Primary |
Addresses
Primary practice location
4040 W 5415 S
Taylorsville, UT 84118
Mailing address
9386 Rolston Rd
Gaines, MI 48436-9619
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12341254-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1972240778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9386 ROLSTON RD",
"city": "GAINES",
"state": "MI",
"postal_code": "484369619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 W 5415 S",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "84118",
"telephone_number": "801-982-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATLOCK",
"first_name": "ADAM",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-13",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "12341254-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "4040 W 5415 S",
"city": "Taylorsville",
"state": "UT",
"country_code": "US",
"postal_code": "84118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.