DICKS SUPERMARKETS INC (NPI# 1033228150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033228150 |
| Entity Type | Organization |
| Organization Name | DICKS SUPERMARKETS INC |
| Other Organization Name | DICK'S PHARMACY |
| Practice Address |
84 W. Parrish Lane Centerville UT 84014-1822 |
| Mailing Address |
Po Box 26417 Salt Lake City UT 84126-0417 |
| Practice Telephone | 8012982676 |
| Practice Fax Number | 8012982566 |
| Mailing Telephone | 8019788225 |
| Mailing Fax Number | 8019788634 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | SHAWNA K HANSON (DIRECTOR OF PHARMACY OPERATIONS) |
| Authorized Official Telephone | 8019788309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5797237-1703 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DEA | BD9116167 | 01 |
| Other Name | Type Code |
|---|---|
| Dick's Pharmacy | Doing Business As Name - Organization |
| Street Address |
84 W. PARRISH LANE |
| City | CENTERVILLE |
| State | UT |
| Zip Code | 84014-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879160 | Nanette F Reid | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-03 |
| 1124557541 | Julie Blundell | Social Worker | 1634 Lewis and Clark Dr, Centerville, UT 84014 | 2017-06-08 |
| 1588843395 | Lorant Steve Bodo | Assisted Living Facility | 463 West Rawlins Circle, Centerville, UT 84014 | 2007-10-29 |
| 1659572949 | Armando Wayne Slack | Registered Nurse | 190 S Main St, Centerville, UT 84014 | 2007-05-31 |
| 1467588004 | Pitt Family Dental | Dentist | 281 South Main, Centerville, UT 84014 | 2007-02-26 |
| 1841346467 | Lds Family Services | Specialist | 94a East Pages Lane, Centerville, UT 84014 | 2007-01-26 |
| 1275690489 | Do-it for You | Chore Provider | 291 E Casa Loma Drive, Centerville, UT 84014 | 2007-01-03 |
| 1558455527 | Brian D Rigby | Dentist | 44 East 100 South, Suite 100, Centerville, UT 84014 | 2006-10-03 |
| 1588756407 | Gary A Lawson | Dentist | 1080 South 400 East, Centerville, UT 84014 | 2006-09-28 |
| 1811526353 | Reid Physical Therapy | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-06 |
| Find all providers in zip 84014 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861503989 | Liberty Pharmacy, Inc | Pharmacy | 1518 Highway 100 Ste 100, Centerville, TN 37033-1182 | 2006-08-31 |
| 1053328070 | Walgreen Co | Pharmacy | 1402 Miamisburg Centerville Rd, Centerville, OH 45459-3802 | 2006-08-02 |
| 1508889247 | Sier Inc | Pharmacy | 205 N Main Street, Centerville, OH 45459 | 2006-07-25 |
| 1437141371 | Rez Inc | Pharmacy | 213 N 13th St, Centerville, IA 52544-1707 | 2005-08-17 |
| 1477081743 | Lewis Family Drug, LLC | Pharmacy | 513 Broadway St, Centerville, SD 57014 | 2017-05-31 |
| 1679988398 | Costco Wholesale Corporation | Pharmacy | 5300 Cornerstone North Blvd, Centerville, OH 45440 | 2014-06-23 |
| 1619260049 | Pemco Pharmacy | Pharmacy | 1550 Yankee Park Pl, Centerville, OH 45458-1868 | 2011-05-18 |
| 1134205479 | Liberty Pharmacy Inc | Pharmacy | 146 E Swan St, Centerville, TN 37033-1446 | 2006-10-30 |
| 1104915792 | University of Utah | Pharmacy | 26 S Main St, Ste 100, Centerville, UT 84014-1817 | 2006-10-12 |
| 1518062629 | Pioneer Memorial Hospital and Health Services | Pharmacy | 513 Broadway, Centerville, SD 57014 | 2006-09-13 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 84014 |
Please comment or provide details below to improve the information on DICKS SUPERMARKETS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.