DEPOT DRUG (NPI# 1104987312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104987312 |
| Entity Type | Organization |
| Organization Name | DEPOT DRUG |
| Other Organization Name | DEPOT DRUG |
| Practice Address |
1040 N 2200 W Ste 200 Salt Lake City UT 84116-2929 |
| Practice Telephone | 8003316353 |
| Practice Fax Number | 8015954440 |
| Mailing Telephone | 8003316353 |
| Mailing Fax Number | 8442673587 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | CURTIS HUGHES (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8015954319 |
| Authorized Official Credential | B.S PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
66418181704 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2107668 | 01 |
| Other Name | Type Code |
|---|---|
| Depot Drug | Doing Business As Name - Organization |
| Street Address |
1040 N 2200 W STE 200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84116-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790224137 | Ronnie Widdison | Pharmacist | 1040 N 2200 W Ste 200, Salt Lake City, UT 84116-2929 | 2017-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1114402377 | Felicia Marie Speer | Community Health Worker | 1303 Sir Phillip Dr, Salt Lake City, UT 84116 | 2018-10-03 |
| 1982144341 | Sharlena Schacht | Pharmacy Technician | 1040 North 2200 West, Salt Lake City, UT 84116 | 2017-03-06 |
| 1316300460 | Riverside Family Dental Care, Inc | Clinic/Center | 1614 W 700 N, Salt Lake City, UT 84116 | 2016-04-05 |
| 1174882856 | Marilyn Ross | Nurse Practitioner | 384 Wright Brothers Dr., Marilyn Ross Bld #2, Salt Lake City, UT 84116 | 2012-05-15 |
| 1720387137 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | 745 N Warm Springs Rd, Salt Lake City, UT 84116 | 2011-03-24 |
| 1811000276 | Kim Coston Christensen | Preventive Medicine | 2150 West 700 North, Kim C. Christensen D.o. Faa Sl/artcc Mfo, Salt Lake City, UT 84116 | 2006-08-17 |
| 1144705583 | Brian Larry Gashler | Family Medicine | 54 N 8th W, Salt Lake City, UT 84116 | 2018-10-02 |
| 1528350972 | Aliesha Shaw | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, 5900, Salt Lake City, UT 84116 | 2011-05-04 |
| 1427035187 | Sarah Lynn Woolsey | Family Medicine | 1365 W 1000 N, Salt Lake City, UT 84116 | 2005-12-23 |
| Find all providers in zip 84116 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1609221647 | Magellan Rx Pharmacy, LLC | Pharmacy | 2256 S 3600 W Ste A, Salt Lake City, UT 84119-1124 | 2016-04-27 |
| 1124267117 | Skin Care Rx L L C | Pharmacy | 1055 S 700 W, Salt Lake City, UT 84104-1504 | 2009-02-13 |
| 1235153826 | Longs Drug Store California Inc | Pharmacy | 221 Charles Lindbergh Dr, Salt Lake City, UT 84116-2811 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205061538 | Pcm Venture I Pharmacy | Pharmacy | 9836 S Jordan Gtwy, Sandy, UT 84070-9509 | 2009-05-15 |
| 1194761585 | Roots Pharmaceuticals Inc | Pharmacy | 12 W 100 N, Ste 201b, American Fork, UT 84003-1611 | 2006-06-22 |
| 1841647179 | Blue Eyes of Utah LLC | Pharmacy | 157 E Riverside Dr, Suite 3e, St George, UT 84790-6886 | 2016-05-17 |
| 1821286691 | University of Utah South Jordan Mail Order Pharmacy | Pharmacy | 1091 W South Jordan Pkwy, South Jordan, UT 84095-8820 | 2007-10-05 |
| 1033264130 | Sundance Pharmacy LLC | Pharmacy | 538 N 1300 E, Saint George, UT 84770-3222 | 2007-01-25 |
| City | SALT LAKE CITY |
| Zip Code | 84116 |
Please comment or provide details below to improve the information on DEPOT DRUG.
| 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.