UTAH CVS PHARMACY, L.L.C. (NPI# 1124475108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124475108 |
| Entity Type | Organization |
| Organization Name | UTAH CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 10424 |
| Practice Address |
5557 W 4100 S West Valley City UT 84120-4629 |
| Mailing Address |
1 Cvs Dr Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 8019661118 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | UT | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
UT | Suppliers | |
| Y | 333600000X | Pharmacy | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1124475108 | 05 | |
| UT | NCPDP | 4613584 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10424 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1730551169 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4240 Harrison Blvd., Ogden, UT 84403-3102 | 2015-10-26 |
| 1699142224 | Utah Cvs Pharmacy, L.L.C. | Pharmacy | 475 E. State Rd., American Fork, UT 84003-2258 | 2015-08-31 |
| 1366819963 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 7777 S. Redwood Rd, West Jordan, UT 84084-5518 | 2015-08-31 |
| 1952783516 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5326 W 11000 N, Highland, UT 84003-9544 | 2015-06-19 |
| 1235517053 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11502 So. 4000 West, So. Jordan, UT 84095-6070 | 2015-05-13 |
| 1952735375 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5305 S 1900 W, Roy, UT 84067-2906 | 2013-08-22 |
| Street Address |
5557 W 4100 S |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120-4629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737077 | Ricardo Fortmuller | Pharmacist | 5557 W 4100 S, West Valley City, UT 84120-4629 | 2020-07-07 |
| 1912536590 | Katarina Reed | Pharmacist | 5557 W 4100 S, West Valley City, UT 84120-4629 | 2020-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770508301 | Smiths Food & Drug Centers Inc | Pharmacy | 4643 S 4000 W, West Valley City, UT 84120-6233 | 2006-07-13 |
| 1922023555 | Smiths Food & Drug Centers Inc | Pharmacy | 5620 W 4100 S, West Valley City, UT 84128-4338 | 2006-07-13 |
| 1134617889 | Stoneridge Pharmacy LLC | Pharmacy | 2235 S 1300 W, West Valley City, UT 84119-7241 | 2018-04-27 |
| 1588709570 | Valley Pharmacy Inc | Pharmacy | 1819 W 3500 S, Ste 1g, West Valley City, UT 84119-3457 | 2007-02-20 |
| 1336239318 | University of Utah | Pharmacy | 3730 W 4700 S, West Valley City, UT 84118-3457 | 2006-10-13 |
| 1770514895 | K Mart Corp | Pharmacy | 3330 S 5600 W, West Valley City, UT 84120-1318 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093502 | Alan Keith Bennion | Pharmacy | 5761 S Surreyrun Rd, Murray, UT 84107-6610 | 2020-11-07 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1528525508 | Skull Valley Health Clinic | Pharmacy | 1929 N Aaron Dr Ste I, Tooele, UT 84074-8112 | 2019-02-26 |
| 1639649916 | Midland Pharmacy, LLC | Pharmacy | 4815 S 3500 W, Roy, UT 84067-9439 | 2018-11-29 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1114439775 | Fusion Pharmacy LLC | Pharmacy | 617 E Riverside Dr Ste 104, St George, UT 84790 | 2017-11-03 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1770021388 | Crimson Valley Pharmacy LLC | Pharmacy | 2351 S River Rd, Ste 3, Saint George, UT 84790-8280 | 2017-02-02 |
| 1013454396 | Gfy LLC | Pharmacy | 189 S State St Ste 120, Clearfield, UT 84015-1062 | 2017-01-25 |
| 1083157382 | Badger Management LLC | Pharmacy | 725 N Redwood Road, N Salt Lake, UT 84054 | 2016-11-18 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
Please comment or provide details below to improve the information on UTAH CVS PHARMACY, L.L.C..
| 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.