MARIAH ANN TREADWELL (NPI# 1699394429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699394429 |
| Entity Type | Individual |
| Full Name | MARIAH ANN TREADWELL |
| Practice Address |
2330 E Fort Union Blvd Cottonwood Heights UT 84121-3339 |
| Mailing Address |
163 E Midvillage Blvd Apt 406 Sandy UT 84070-1290 |
| Practice Telephone | 8013081013 |
| Mailing Telephone | 2077407348 |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11701316-1701 | UT | Pharmacy Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | PI46029 | ME | Student, Health Care |
| Street Address |
2330 E FORT UNION BLVD |
| City | COTTONWOOD HEIGHTS |
| State | UT |
| Zip Code | 84121-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578726832 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2330 E Fort Union Blvd, Cottonwood Heights, UT 84121-3339 | 2008-07-08 |
| 1447861448 | Justin Wesley Tran | Pharmacist | 2330 E Fort Union Blvd, Cottonwood Heights, UT 84121-3339 | 2020-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| 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 |
|---|---|---|---|---|
| 1336402304 | Suresh Boodram | Pharmacist | 7919 Caballero Dr, Cottonwood Heights, UT 84093-6230 | 2012-06-24 |
| 1033494802 | Angela Cook | Pharmacist | 2330 Fort Union Blvd, Cottonwood Heights, UT 84121-3339 | 2011-10-12 |
| 1447861448 | Justin Wesley Tran | Pharmacist | 2330 E Fort Union Blvd, Cottonwood Heights, UT 84121-3339 | 2020-08-12 |
| 1487071189 | Cassandra Clement | Pharmacist | 2100 E Bengal Blvd, Apt M102, Cottonwood Heights, UT 84121-7135 | 2014-03-20 |
| 1659658847 | Sarah Ruth Laliberte | Pharmacist | 2330 Fort Union Blvd, Cottonwood Heights, UT 84121-3339 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952459 | Deanna Rae Moultrie | Pharmacist | 1268 N 225 W, Centerville, UT 84014-1104 | 2020-11-05 |
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1487255907 | Todd Shakespeare | Pharmacist | 1330 S Providence, Cedar City, UT 84720 | 2020-11-02 |
| 1245830108 | Chadwick M Smith | Pharmacist | 7494 S 2135 E, Salt Lake City, UT 84121-4970 | 2020-10-29 |
| 1356940209 | Melody Mercedes Padilla | Pharmacist | 325 S Orchard Dr Apt C106, North Salt Lake, UT 84054-1861 | 2020-10-21 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1568075463 | Brent West | Pharmacist | 19 W Clover Ln, Washington, UT 84780-8208 | 2020-08-28 |
| 1568074318 | Kelli Thorup | Pharmacist | 458 E Emerson Ave, Salt Lake City, UT 84115-1531 | 2020-08-21 |
| 1861003865 | Devin S Jackson | Pharmacist | 1311 E Draper Pkwy, Draper, UT 84020-8567 | 2020-08-12 |
| 1376154435 | James Lindsay Clark | Pharmacist | 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD HEIGHTS |
| Zip Code | 84121 |
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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.