JOLLEY COMP AND SPECIALTY PHAM (NPI# 1659445187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659445187 |
| Entity Type | Organization |
| Organization Name | JOLLEY COMP AND SPECIALTY PHAM |
| Other Organization Name | WESTMINSTER PHARMACY |
| Practice Address |
1702 S 1100 E Salt Lake City UT 84105-3424 |
| Practice Telephone | 8014844393 |
| Practice Fax Number | 8014848677 |
| Mailing Telephone | 8014844393 |
| Mailing Fax Number | 8014848677 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-11-13 |
| Authorized Official Name | DEAN JOLLEY (OWNER/PHARMASIST) |
| Authorized Official Telephone | 8014844393 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3318751703 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2107670 | 01 |
| Other Name | Type Code |
|---|---|
| Westminster Pharmacy | Former Legal Business Name - Organization |
| Street Address |
1702 S 1100 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019703 | Akram Refaat | Pharmacist | 1702 S 1100 E, Salt Lake City, UT 84105-3424 | 2020-09-25 |
| 1831703198 | Benjamin Dean Jolley | Pharmacist | 1702 S 1100 E, Salt Lake City, UT 84105-3424 | 2020-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| 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 |
|---|---|---|---|---|
| 1518577741 | Black Panda LLC | Pharmacy | 2507 S State St, Salt Lake City, UT 84115-3109 | 2020-08-03 |
| 1447760228 | Meds In Motion, LLC | Pharmacy | 1200 E 3900 S Ste 1h, Salt Lake City, UT 84124-1300 | 2017-10-05 |
| 1164945192 | Walgreen Co | Pharmacy | 220 S 7th E, Salt Lake City, UT 84102-2106 | 2017-07-21 |
| 1417400797 | Hrx Pharmacy LLC | Pharmacy | 4227 S Highland Dr, Suite 6, Salt Lake City, UT 84124-2645 | 2016-08-03 |
| 1790157261 | Global Medical Therapeutics Inc | Pharmacy | 1890 S 3850 W Ste 121-a, Salt Lake City, UT 84104 | 2015-10-23 |
| 1457783201 | Pharmacare, LLC | Pharmacy | 729 N Redwood Rd, Attn Super Value Pharmacy, Salt Lake City, UT 84116-1909 | 2013-08-04 |
| 1568703650 | Amphex Pharmacy, LLC | Pharmacy | 898 E 3300 S, Salt Lake City, UT 84106-1508 | 2013-03-14 |
| 1043543754 | Associated Fresh Markets Inc | Pharmacy | 1638 S 9th E, Salt Lake City, UT 84105-2366 | 2009-09-13 |
| 1326371584 | Maceys Inc | Pharmacy | 4530 S Highland Dr, Salt Lake City, UT 84117-4202 | 2009-09-04 |
| 1275705493 | Walgreen Co | Pharmacy | 4690 S Holladay Blvd, Salt Lake City, UT 84117-5243 | 2008-03-27 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
Please comment or provide details below to improve the information on JOLLEY COMP AND SPECIALTY PHAM.
| 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.