DAVIS/BURKETT FOOD CORP (NPI# 1255324554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255324554 |
| Entity Type | Organization |
| Organization Name | DAVIS/BURKETT FOOD CORP |
| Other Organization Name | DAVIS FOOD AND DRUG #1 |
| Practice Address |
575 W Main St Vernal UT 84078-2405 |
| Practice Telephone | 4357897011 |
| Practice Fax Number | 4357814804 |
| Mailing Telephone | 4357897011 |
| Mailing Fax Number | 4357814804 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | MIKE SORENSON (PHARMACY OPERATIONS MANAGER) |
| Authorized Official Telephone | 4357897011 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5790736-1703 | UT | Suppliers |
| Y | 333600000X | Pharmacy | 5790736-1703 | UT | Suppliers |
| Other Name | Type Code |
|---|---|
| Davis Food and Drug #1 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528198421 | Davis/burkett Food Corp | Pharmacy | 750 E 200 N, Roosevelt, UT 84066-3005 | 2007-03-07 |
| 1295815975 | Davis/burkett Food Corp | Pharmacy | 3765 S 2700 W, West Valley City, UT 84119 | 2006-10-16 |
| 1558605816 | Davis/burkett Food Corp | Pharmacy | 495 N State St, La Verkin, UT 84745-5124 | 2012-11-26 |
| Street Address |
575 W MAIN ST |
| City | VERNAL |
| State | UT |
| Zip Code | 84078-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1689008773 | Ashley Valley Physician Practice, LLC | Occupational Therapist | 1680 W Highway 40 Ste 202, Vernal, UT 84078 | 2013-08-26 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| Find all providers in zip 84078 | ||||
| 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 |
|---|---|---|---|---|
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1962427591 | Smiths Food & Drug Centers Inc | Pharmacy | 1080 W Highway 40, Vernal, UT 84078-2333 | 2006-07-13 |
| 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 | ||||
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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.