PARK CITY CLINIC PHARMACY (NPI# 1245521954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245521954 |
| Entity Type | Organization |
| Organization Name | PARK CITY CLINIC PHARMACY |
| Practice Address |
750 Round Valley Dr 203 Park City UT 84098 |
| Mailing Address |
14 E Center St Kanab UT 84741-3542 |
| Practice Telephone | 4356442702 |
| Mailing Telephone | 4356442693 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |
| Authorized Official Name | KORTNEY JAMES STIRLAND (OWNER) |
| Authorized Official Telephone | 4356442702 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 7955094-1703 | UT | Suppliers |
| Street Address |
750 ROUND VALLEY DR 203 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700869153 | Kathy M Ostler | Pediatrics | 750 Round Valley Dr, #102, Park City, UT 84060-7548 | 2005-11-21 |
| 1639797384 | Rodolfo Steven Bonilla | Social Worker | 750 Round Valley Dr, Park City, UT 84060-7548 | 2020-07-09 |
| 1407223548 | Raymond Kent Turley Jr. | Physician Assistant | 750 Round Valley Dr, Park City, UT 84060-7548 | 2015-08-24 |
| 1669867040 | Mary Weaver Veghte | Family Medicine | 750 Round Valley Dr, Park City, UT 84060-7548 | 2015-04-01 |
| 1033474648 | Ihc Health Services Inc | Family Medicine | 750 Round Valley Dr, Park City, UT 84060-7548 | 2012-07-10 |
| 1801166830 | Katy Marie Ramsay | Pharmacist | 750 Round Valley Dr, Park City, UT 84060-7548 | 2012-01-06 |
| 1255623708 | Ihc Health Services Inc | Anesthesiology | 750 Round Valley Dr, Ste 101, Park City, UT 84060-0000 | 2011-05-03 |
| 1235421785 | Ihc Health Services Inc | Pain Medicine | 750 Round Valley Dr, Ste 101, Park City, UT 84060-0000 | 2011-05-03 |
| 1649413212 | Alison Janine Delgado | Pediatrics | 750 Round Valley Dr, Suite 102, Park City, UT 84060-7548 | 2009-04-13 |
| 1427235811 | Rebecca Emily Ennen | Nurse Practitioner | 750 Round Valley Dr, Park City, UT 84060 | 2008-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1497126130 | Megan Franz | Counselor | 3100 Pinebrook Rd, Park City, UT 84098 | 2015-10-07 |
| 1568752541 | Kortney James Stirland | Pharmacist | 750 Round Valley Drive #203, Park City, UT 84098 | 2011-04-12 |
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1134374648 | Donna B Fischer | General Practice | 6531 N Landmark Dr., Park City, UT 84098 | 2008-11-25 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1437314291 | Jeffrey S Holverson | Internal Medicine | 6240 N Snowview Dr, Park City, UT 84098 | 2008-07-22 |
| 1578728515 | Blair Archbold Smith | Physical Therapist | 6880 Canyon Drive Court, Park City, UT 84098 | 2008-07-18 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
| Find all providers in zip 84098 | ||||
| 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 |
|---|---|---|---|---|
| 1013006600 | University of Utah | Pharmacy | 1743 Redstone Center Dr, Ste 115, Park City, UT 84098-7929 | 2006-10-12 |
| 1124132113 | Pc Pharmacy At The Clinic Inc | Pharmacy | 1665 Bonanza Dr, Park City, UT 84060 | 2006-08-18 |
| 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 |
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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.