PIONEER DRUG LLC (NPI# 1689238479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689238479 |
Entity Type | Organization |
Organization Name | PIONEER DRUG LLC |
Other Organization Name | CEDAR VALLEY PHARMACY |
Practice Address |
3435 E Pony Express Parkway Suite 150 Eagle Mountain UT 84005 |
Mailing Address |
4776 Autumn Cv Erda UT 84074-5548 |
Practice Telephone | 8017535100 |
Practice Fax Number | 8017535101 |
Mailing Telephone | 4358827775 |
Enumeration Date | 2019-04-26 |
Last Update Date | 2019-07-19 |
Authorized Official Name | SHELDON BIRCH (MANAGING MEMBER/PHARMACIST) |
Authorized Official Telephone | 4358827775 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | Suppliers |
Other Name | Type Code |
---|---|
Cedar Valley Pharmacy | Doing Business As Name - Organization |
Street Address |
3435 E PONY EXPRESS PARKWAY SUITE 150 |
City | EAGLE MOUNTAIN |
State | UT |
Zip Code | 84005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760896138 | Richard Allen Baldwin | Dentist | 3435 E Pony Express Parkway, Suite 110, Eagle Mountain, UT 84005-8400 | 2014-06-13 |
1518520964 | Rb Dmd Pllc | Clinic/Center | 3435 E Pony Express Parkway, Suite 110, Eagle Mountain, UT 84005-1204 | 2019-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922573856 | Eagle Mountain Children's Dentistry Pllc | Clinic/Center | 3435 Pony Express Parkway Ste. 130, Eagle Mountain, UT 84005 | 2018-10-08 |
1437650157 | Michael Hogue | Emergency Medical Technician, Basic | 2036 E Harkers Way, Eagle Mountain, UT 84005 | 2018-02-27 |
1376050682 | Bell Adult Healthcare and Wellness Pllc | Nurse Practitioner | 4719 E Silver Creek Way, Eagle Mountain, UT 84005 | 2018-01-08 |
1891201794 | Breaking Barriers Therapy Services LLC | Speech-Language Pathologist | 3756 E Barton Creek Dr, Eagle Mountain, UT 84005 | 2017-12-14 |
1346770617 | Mallory Lynn Hansen | Speech-Language Pathologist | 8981 N Skye Loop, Eagle Mountain, UT 84005 | 2017-06-19 |
1609315480 | Pony Express Dental LLC | Clinic/Center | 1308 E. Eagle Mountain Blvd, Eagle Mountain, UT 84005 | 2017-02-14 |
1609130418 | Utah Addiction Centers | Substance Abuse Rehabilitation Facility | 2590 Prarie View Drive, Eagle Mountain, UT 84005 | 2012-06-26 |
1760763411 | Elizabeth A Pritt | Physician Assistant | 4095 E Pony Express Parkway, Suite 1, Eagle Mountain, UT 84005 | 2011-09-07 |
1902101587 | Benjamin Dean Jones | Social Worker | 4682 East Foxwood Drive, Eagle Mountain, UT 84005 | 2011-01-13 |
1407182892 | Jacob Chase Fowler | Pharmacist | 3435 E Pony Express Pkwy Ste 150, Eagle Mountain, UT 84005 | 2009-10-20 |
Find all providers in zip 84005 |
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 |
---|---|---|---|---|
1548681877 | Ridleys Family Markets Inc | Pharmacy | 4045 E Pony Express Pkwy, Eagle Mountain, UT 84005-5512 | 2014-01-06 |
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 | EAGLE MOUNTAIN |
Zip Code | 84005 |
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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.