Joseph Chang, PHARMD

Individual provider Active NPI Pharmacist · Herriman, UT

NPI 1982245361 · NPPES record last updated Jul 2, 2020

Key facts

NPI
1982245361
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
8325904-1701 (UT)
Practice address
5560 W 13400 S
Herriman, UT 84096-6919
Phone
(801) 254-8336
NPI assigned
Oct 7, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
8325904-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Smiths Food & Drug Centers Inc Past
since Oct 13, 2019
Accepting new patients
Smith'S Food & Drug Centers Inc Past
since Oct 13, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8325904-1701 UT Yes

Addresses

Primary practice location

5560 W 13400 S
Herriman, UT 84096-6919

Mailing address

5560 W 13400 S
Herriman, UT 84096-6919
Phone (801) 254-8336

Other practice location 1

4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550
Phone (888) 949-4864

Other providers in Herriman, UT

All providers in Herriman, UT · Pharmacist in Utah

Sources for this page

Verify at the official NPI Registry.