PCM VENTURE I PHARMACY (NPI# 1205061538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205061538 |
| Entity Type | Organization |
| Organization Name | PCM VENTURE I PHARMACY |
| Other Organization Name | PHOENIX CAPITAL MANAGEMENT, LLC |
| Practice Address |
9836 S Jordan Gtwy Sandy UT 84070-9509 |
| Practice Telephone | 8012626601 |
| Practice Fax Number | 8012626636 |
| Mailing Telephone | 8012626601 |
| Mailing Fax Number | 8012626636 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | MR. PETER AX (OWNER) |
| Authorized Official Telephone | 4807074534 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
UT | Suppliers |
| Other Name | Type Code |
|---|---|
| Phoenix Capital Management, LLC | Other Name - Individual/Organization |
| Street Address |
9836 S JORDAN GTWY |
| City | SANDY |
| State | UT |
| Zip Code | 84070-9509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777568 | Megan Komatsu Inc. | Social Worker | 10815 700 East, Sandy, UT 84070 | 2020-10-13 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1245840552 | Kirandeep Kaur | Psychologist | 9678 700 E # 102, Sandy, UT 84070 | 2020-08-03 |
| 1740890961 | Elizabeth Lowe Madsen | Counselor | 9678 700 East Suite 102, Sandy, UT 84070 | 2020-08-03 |
| 1417597188 | Hayley Burr | Counselor | 8706 700 E, Suite 205, Sandy, UT 84070 | 2020-01-10 |
| 1821656422 | Karen Ritchie | Counselor | 9192 South 300 West, Sandy, UT 84070 | 2019-05-30 |
| 1679068159 | Derek Livingston | Counselor | 11075 State St #35, Sandy, UT 84070 | 2018-06-27 |
| 1891283735 | Alta Rx LLC. | Pharmacy | 9883 South 500 West, Sandy, UT 84070 | 2018-04-26 |
| 1790273704 | The Addiction Medicine Physicians Group, LLC | Registered Nurse | 9160 S 300 E. Ste 25, Sandy, UT 84070 | 2018-04-25 |
| 1841794765 | Caryn Beazel | Physical Therapist | 9350 150 E, Sandy, UT 84070 | 2018-03-23 |
| Find all providers in zip 84070 | ||||
| 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 |
| 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 |
| 1235153826 | Longs Drug Store California Inc | Pharmacy | 221 Charles Lindbergh Dr, Salt Lake City, UT 84116-2811 | 2006-07-27 |
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| 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.