Active NPI
Thomas Dockendorf, RPH
- Pharmacist
- Orem, UT
National Provider Identifier
1992831242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 143565
- Practice address
- 331 N 400 W
Orem, UT 84057-1913 - Phone
- (801) 714-3230
- NPI assigned
- Feb 23, 2007
- Last updated
- Jul 8, 2007
- 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 | 143565 | UT | Primary |
Addresses
Primary practice location
331 N 400 W
Orem, UT 84057-1913
Mailing address
26 E 1775 N
Orem, UT 84057-2106
Phone (801) 224-8572
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143565 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992831242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 E 1775 N",
"city": "OREM",
"state": "UT",
"postal_code": "840572106",
"telephone_number": "801-224-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 N 400 W",
"city": "OREM",
"state": "UT",
"postal_code": "840571913",
"telephone_number": "801-714-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCKENDORF",
"first_name": "THOMAS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "143565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.