UTAH CVS PHARMACY, L.L.C. (NPI# 1366819963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366819963 |
| Entity Type | Organization |
| Organization Name | UTAH CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #10370 |
| Practice Address |
7777 S. Redwood Rd West Jordan UT 84084-5518 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8012559077 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | NCPDP | 4613344 | 01 |
| UT | 1366819963 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #10370 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1124475108 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5557 W 4100 S, West Valley City, UT 84120-4629 | 2016-05-19 |
| 1730551169 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4240 Harrison Blvd., Ogden, UT 84403-3102 | 2015-10-26 |
| 1699142224 | Utah Cvs Pharmacy, L.L.C. | Pharmacy | 475 E. State Rd., American Fork, UT 84003-2258 | 2015-08-31 |
| 1952783516 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5326 W 11000 N, Highland, UT 84003-9544 | 2015-06-19 |
| 1235517053 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11502 So. 4000 West, So. Jordan, UT 84095-6070 | 2015-05-13 |
| 1952735375 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5305 S 1900 W, Roy, UT 84067-2906 | 2013-08-22 |
| Street Address |
7777 S. REDWOOD RD |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84084-5518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
| 1952809873 | David D. Allred Counseling & Consulting, LLC | Marriage & Family Therapist | 1365 W Green Hedge Way, West Jordan, UT 84084 | 2018-01-25 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
| 1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
| 1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
| 1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
| 1518217942 | Luciane Lopes De Oliveira | Student in an Organized Health Care Education/Training Program | 7601 Redwood Road, West Jordan, UT 84084 | 2012-09-13 |
| 1023368636 | Chelsey Tautkus | Social Worker | 7601 South Redwood Road, Building E, West Jordan, UT 84084 | 2012-09-12 |
| Find all providers in zip 84084 | ||||
| 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 |
|---|---|---|---|---|
| 1891715496 | Tmj Inc | Pharmacy | 8806 S Redwood Rd, West Jordan, UT 84088-9337 | 2006-07-20 |
| 1831171941 | Family Plaza Pharmacy Inc | Pharmacy | 3570 W 9000 S, Ste 150, West Jordan, UT 84088-8869 | 2005-11-15 |
| 1346271343 | K Mart Corp | Pharmacy | 1442 W 90th S, West Jordan, UT 84088-9218 | 2006-07-06 |
| 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 | ||||
| City | WEST JORDAN |
| Zip Code | 84084 |
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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.