Cameron Tolley – Pharmacy in Magna, UT

Key facts

NPI: 1982248407
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacy 333600000X
License: 5797362-1701
Practice address: 8055 W 3500 S
Magna, UT 84044-2218
Phone: (801) 250-6900
Fax: (801) 252-1000
NPI assigned: Oct 29, 2019
Sex: Male
Sole proprietor: Yes

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.

Smiths Food & Drug Centers Inc Community/Retail Pharmacy · Magna, UT · NPI 1407871031

NPD (past) PHARMACY
Smith'S Food & Drug Centers Inc Community/Retail Pharmacy · Henderson, NV · NPI 1881585248

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Smith'S Food & Drug Centers Inc		Past since Nov 3, 2019	Accepting new patients
Smiths Food & Drug Centers Inc	Pharmacy	Past since Nov 3, 2019	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacy	333600000X	5797362-1701		Yes

Addresses

Primary practice location

8055 W 3500 S
Magna, UT 84044-2218

Mailing address

8055 W 3500 S
Magna, UT 84044
Phone (801) 250-6900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 29, 2019.

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1982248407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 W 3500 S",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "84044",
            "telephone_number": "801-250-6900",
            "fax_number": "801-252-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 W 3500 S",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840442218",
            "telephone_number": "801-250-6900",
            "fax_number": "801-252-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEY",
        "first_name": "CAMERON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": "5797362-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magna, UT

All providers in Magna, UT · Pharmacy in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.