NPIMap

Organization Active NPI

State of Utah

  • Institutional Pharmacy
  • Draper, UT
National Provider Identifier
1972870517
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
1228741704 Issued in UT
Legal business name
STATE OF UTAH
Practice address
14425 Bitterbrush LN
Draper, UT 84020-9501
Phone
(801) 576-7116
Fax
(801) 576-7059
NPI assigned
Nov 28, 2011
Organization subpart
Yes
Parent organization
STATE OF UTAHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Deana Marie Kenyon, PHARMD
Title
CHS Director of Pharmacy
Phone
(801) 522-7142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 1228741704 UT Primary

Addresses

Primary practice location

14425 Bitterbrush LN
Draper, UT 84020-9501

Mailing address

1480 N 8000 W
Salt Lake City, UT 84116
Phone (801) 522-7142

Other identifiers 1

IdentifierTypeStateIssuer
4612152OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CHS USCF Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Juan Counseling Ctr28 organizations share this tax ID, including this one
Part of
Summit Eye Care PLLC

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

1480 N 8000 W
Salt Lake City, UT 84116
Phone (801) 522-7000

Practitioners & affiliated clinicians

Practitioners 8

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": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1972870517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 N 8000 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84116",
            "telephone_number": "801-522-7142",
            "fax_number": "385-465-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14425 BITTERBRUSH LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209501",
            "telephone_number": "801-576-7116",
            "fax_number": "801-576-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF UTAH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF UTAH",
        "enumeration_date": "2011-11-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "KENYON",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHS DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "801-522-7142",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "UT",
            "license": "1228741704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4612152",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHS USCF Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.