UNIVERSITY OF UTAH SOUTH JORDAN MAIL ORDER PHARMACY (NPI# 1821286691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821286691 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH SOUTH JORDAN MAIL ORDER PHARMACY |
| Practice Address |
1091 W South Jordan Pkwy South Jordan UT 84095-8820 |
| Mailing Address |
127 S 500 E Suite 160 Salt Lake City UT 84102-1959 |
| Practice Telephone | 8012139850 |
| Mailing Telephone | 8015876322 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. MICHAEL KELLY (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 8015876325 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
5546220-1703 | UT | Suppliers |
| Street Address |
1091 W SOUTH JORDAN PKWY |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-8820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396798781 | Jerel Bullock | Pharmacist | 1091 W South Jordan Pkwy, Suite 500, South Jordan, UT 84095-8820 | 2006-05-18 |
| 1558852491 | Planned Parenthood Association of Utah | Pharmacy | 1091 W South Jordan Pkwy, South Jordan, UT 84095-8820 | 2018-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1609221647 | Magellan Rx Pharmacy, LLC | Pharmacy | 2256 S 3600 W Ste A, Salt Lake City, UT 84119-1124 | 2016-04-27 |
| 1205061538 | Pcm Venture I Pharmacy | Pharmacy | 9836 S Jordan Gtwy, Sandy, UT 84070-9509 | 2009-05-15 |
| 1124267117 | Skin Care Rx L L C | Pharmacy | 1055 S 700 W, Salt Lake City, UT 84104-1504 | 2009-02-13 |
| 1194761585 | Roots Pharmaceuticals Inc | Pharmacy | 12 W 100 N, Ste 201b, American Fork, UT 84003-1611 | 2006-06-22 |
| 1841647179 | Blue Eyes of Utah LLC | Pharmacy | 157 E Riverside Dr, Suite 3e, St George, UT 84790-6886 | 2016-05-17 |
| 1033264130 | Sundance Pharmacy LLC | Pharmacy | 538 N 1300 E, Saint George, UT 84770-3222 | 2007-01-25 |
| 1235153826 | Longs Drug Store California Inc | Pharmacy | 221 Charles Lindbergh Dr, Salt Lake City, UT 84116-2811 | 2006-07-27 |
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.