ICARE PHARMACY (NPI# 1265415327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265415327 |
| Entity Type | Organization |
| Organization Name | ICARE PHARMACY |
| Practice Address |
109 W Gentile St. Layton UT 84041 |
| Practice Telephone | 8013363043 |
| Mailing Telephone | 8013363043 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SHEILA C RANDALL (CHIEF PHARMACIST) |
| Authorized Official Telephone | 8013363043 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | UT | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DEA NUMBER | BI9478771 | 01 |
| UT | NCPDP NUMBER | 4610350 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720401722 | Icare Pharmacy | Pharmacy | 194 Broad St Ste B, Bloomfield, NJ 07003-2606 | 2014-01-27 |
| 1205268984 | Icare Pharmacy | Pharmacy | 1727 Berryessa Rd Ste B, San Jose, CA 95133-1172 | 2013-08-05 |
| 1124084835 | Icare Pharmacy | Pharmacy | 109 W.gentile Street, Layton, UT 84041 | 2006-04-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ICARE PHARMACY SERVICES LLC | 1450-40th Street, Brooklyn, Ny 11218 |
| Street Address |
109 W GENTILE ST. |
| City | LAYTON |
| State | UT |
| Zip Code | 84041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013535640 | Brian Cecil John | Pharmacist | 2486 W 900 N, Layton, UT 84041-7351 | 2020-07-09 |
| 1326695206 | Shelby Andersen | Pharmacist | 2480 Oak Ln, Layton, UT 84040-7960 | 2019-08-24 |
| 1861904245 | Jon True | Pharmacist | 2065 N 1700 W, Layton, UT 84041-1133 | 2017-10-25 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1265886261 | Brian Burnham | Pharmacist | 583 S 650 W, Layton, UT 84041-4893 | 2016-04-16 |
| 1619128154 | Candace Romaine Bull | Pharmacist | 860 N Fairfield Rd, Layton, UT 84041-2725 | 2008-10-02 |
| 1861612855 | Braden D Mitchell | Pharmacist | 910 N Fairfield Rd, Layton, UT 84041-2723 | 2007-05-01 |
| 1114050994 | Melissa G. Holbrook | Pharmacist | 142 Blue Sage Ln, Layton, UT 84040-7422 | 2007-03-13 |
| 1023039286 | North View Pharmacy | Pharmacist | 2121 Robins Dr, Layton, UT 84041-8803 | 2006-07-22 |
| 1558386235 | R. Ferris Derbidge | Pharmacist | 1492 W Antelope Dr Ste 150, Layton, UT 84041-1137 | 2006-07-13 |
| Find all providers in LAYTON | ||||
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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.