SAN JUAN PHARMACY MONTICELLO (NPI# 1215144308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215144308 |
| Entity Type | Organization |
| Organization Name | SAN JUAN PHARMACY MONTICELLO |
| Other Organization Name | MAIN STREET DRUG & BOUTIQUE |
| Practice Address |
140 S Main St Monticello UT 84535 |
| Mailing Address |
Po Box 519 Monticello UT 84535-0519 |
| Practice Telephone | 4355872302 |
| Practice Fax Number | 4355873441 |
| Mailing Telephone | 4355872302 |
| Mailing Fax Number | 4355873441 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-06-20 |
| Authorized Official Name | TIM YOUNG (OWNER) |
| Authorized Official Telephone | 4355872302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
127088-1703 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 87600061640 | 05 | |
| PK | 2107592 | 01 |
| Other Name | Type Code |
|---|---|
| MAIN STREET DRUG & BOUTIQUE | Doing Business As Name - Organization |
| Street Address |
140 S MAIN ST |
| City | MONTICELLO |
| State | UT |
| Zip Code | 84535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134731292 | Benjamin Wolsey Nielson | Social Worker | 133 E. 200 S., Monticello, UT 84535 | 2020-08-20 |
| 1346797909 | Utah Navajo Health System, Incorporated | Dentist | 217 S. 100 West, Monticello, UT 84535 | 2016-09-01 |
| 1346648094 | Kayenta Dental | Dentist | 225 S. Main, Monticello, UT 84535 | 2014-12-11 |
| 1700225679 | Michael Ray Nielson | Family Medicine | 380 W. 100 North, Monticello, UT 84535 | 2013-06-24 |
| 1871932640 | Angelic Hands, Inc | Home Health | 64 West 200 South, Monticello, UT 84535 | 2013-06-14 |
| 1982910519 | Julee Dawn Slade | Registered Nurse | 417 S. 100 W., Monticello, UT 84535 | 2010-08-20 |
| 1477886059 | Blue Mountain Family Center | Substance Abuse Rehabilitation Facility | 580 North Main, Monticello, UT 84535 | 2009-09-14 |
| 1710114665 | Nathan James Turnbow | Dentist | 225 South Main, Monticello, UT 84535 | 2009-06-18 |
| 1447465141 | San Juan Dental | Dentist | 217 S. 100 W., Monticello, UT 84535 | 2007-05-14 |
| 1902952062 | San Juan County | Ambulance | 117 South Main, Monticello, UT 84535 | 2007-01-25 |
| Find all providers in zip 84535 | ||||
| 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 |
|---|---|---|---|---|
| 1942847686 | Burgess Drug Store Inc. | Pharmacy | 1 S. Creek Dr., Ste. #122, Monticello, KY 42633 | 2019-12-02 |
| 1992104442 | Silvers Hometown Pharmacy,llc | Pharmacy | 1251 W Columbia Ave, Monticello, KY 42633-3177 | 2014-08-21 |
| 1710179072 | Monticello Pharmacy, Inc. | Pharmacy | 41 Jefferson St., Monticello, NY 12701 | 2007-08-10 |
| 1952493579 | Lawrence County Drugs, Inc. | Pharmacy | 422 E Broad St, Monticello, MS 39654 | 2006-09-29 |
| 1568074714 | Kirby Medical Center | Pharmacy | 1402 N Market St, Monticello, IL 61856-8002 | 2020-08-19 |
| 1437711140 | Kirby Medical Center | Pharmacy | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2019-07-02 |
| 1649793589 | Walgreen Co | Pharmacy | 381 Broadway, Monticello, NY 12701-1385 | 2017-07-24 |
| 1134526585 | Hartig Drug Co Corp | Pharmacy | 419 E 1st St, Monticello, IA 52310-1506 | 2014-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1598371973 | Mountain West Medicine Inc. | Pharmacy | 1551 Renaissance Towne Dr Ste 104, Bountiful, UT 84010-7682 | 2020-09-21 |
| 1518577741 | Black Panda LLC | Pharmacy | 2507 S State St, Salt Lake City, UT 84115-3109 | 2020-08-03 |
| 1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
| 1023637675 | Santaquin Market, Inc. | Pharmacy | 110 N. 400 E., Santaquin, UT 84655 | 2020-04-14 |
| 1891345237 | Strive Pharmacy Utah 1 LLC | Pharmacy | 8928 S State St, Sandy, UT 84070-2246 | 2019-09-17 |
| 1336705755 | Bear Lake Community Health Center | Pharmacy | 517 W 100 N Ste 210, Providence, UT 84332-9826 | 2019-05-10 |
| 1912470246 | Ridley's Family Markets Inc | Pharmacy | 74 S 100 E, Tremonton, UT 84337-1606 | 2019-01-09 |
| 1437620762 | Pthl LLC | Pharmacy | 1890 Bonanza Dr Ste 107, Park City, UT 84060-7217 | 2018-12-16 |
| 1093285785 | Richfield Community Pharmacy LLC | Pharmacy | 440 S Main St Ste B, Richfield, UT 84701-2855 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 84535 |
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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.