MOUNTAINLANDS FAMILY PHARMACY - WASATCH (NPI# 1861815110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861815110 |
| Entity Type | Organization |
| Organization Name | MOUNTAINLANDS FAMILY PHARMACY - WASATCH |
| Practice Address |
750 N 200 W Suite 201 Provo UT 84601-3539 |
| Mailing Address |
589 S State St Provo UT 84606-5056 |
| Practice Telephone | 8014292000 |
| Mailing Telephone | 8014292020 |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | MR. TODD BAILEY (CEO) |
| Authorized Official Telephone | 8014292000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNTAINLANDS COMMINITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
UT | Suppliers |
| Street Address |
750 N 200 W SUITE 201 |
| City | PROVO |
| State | UT |
| Zip Code | 84601-3539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205943180 | Darren James Gillespie | Social Worker | 750 N 200 W, Provo, UT 84601 | 2006-08-24 |
| 1447775945 | Victoria Elizabeth Rosa | Case Manager/Care Coordinator | 750 N 200 W, Provo, UT 84601 | 2017-08-07 |
| 1932623378 | Alisha Lynne Peart | Student in an Organized Health Care Education/Training Program | 750 N 200 W, Provo, UT 84601-1677 | 2017-07-27 |
| 1538681358 | Stephanie Ann Hundley | Social Worker | 750 N 200 W, Provo, UT 84601-1677 | 2017-07-13 |
| 1689196958 | Hanna Morgan | Peer Specialist | 750 N 200 W, Provo, UT 84601-1677 | 2017-07-08 |
| 1285188748 | Abish Shelem Lugo | Social Worker | 750 N 200 W, Provo, UT 84601-1677 | 2016-08-12 |
| 1558815654 | Lauren Mattinson | Case Manager/Care Coordinator | 750 N 200 W, Provo, UT 84601-1677 | 2016-08-08 |
| 1992155709 | Adarienn Marrott | Case Manager/Care Coordinator | 750 N 200 W, Provo, UT 84601-1677 | 2016-06-13 |
| 1841652625 | Kobie Chapman | Student in an Organized Health Care Education/Training Program | 750 N 200 W, Provo, UT 84601-1677 | 2016-03-22 |
| 1750749412 | Jarom Williams | Peer Specialist | 750 N 200 W, Provo, UT 84601-1677 | 2016-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| 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 |
|---|---|---|---|---|
| 1659859965 | Bettercare Family Pharmacy LLC | Pharmacy | 545 Columbia Ln, Provo, UT 84604-2450 | 2018-07-30 |
| 1467961995 | Meds In Motion, LLC | Pharmacy | 1055 N 300 W Ste 201a, Provo, UT 84604-3374 | 2017-09-27 |
| 1427381714 | Associated Fresh Markets Inc | Pharmacy | 560 W Center St, Provo, UT 84601-4276 | 2009-09-17 |
| 1083723217 | Maceys Inc | Pharmacy | 1402 N State St, Provo, UT 84604-2415 | 2006-08-30 |
| 1174552848 | Super Save Markets | Pharmacy | 655 E 300 S, Provo, UT 84606-4962 | 2006-07-03 |
| 1578831699 | Walgreens | Pharmacy | 1315 N State St, Provo, UT 84604-2416 | 2011-12-03 |
| 1871812370 | Mountainlands Family Pharmacy | Pharmacy | 589 S State St, Provo, UT 84606-5056 | 2010-05-24 |
| 1689849606 | Walgreen Co | Pharmacy | 1315 N State St, Provo, UT 84604-2416 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1598371973 | Mountain West Medicine Inc. | Pharmacy | 1551 Renaissance Towne Dr Ste 104, Bountiful, UT 84010-7682 | 2020-09-21 |
| 1518577741 | Black Panda LLC | Pharmacy | 2507 S State St, Salt Lake City, UT 84115-3109 | 2020-08-03 |
| 1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
| 1023637675 | Santaquin Market, Inc. | Pharmacy | 110 N. 400 E., Santaquin, UT 84655 | 2020-04-14 |
| 1891345237 | Strive Pharmacy Utah 1 LLC | Pharmacy | 8928 S State St, Sandy, UT 84070-2246 | 2019-09-17 |
| 1336705755 | Bear Lake Community Health Center | Pharmacy | 517 W 100 N Ste 210, Providence, UT 84332-9826 | 2019-05-10 |
| 1912470246 | Ridley's Family Markets Inc | Pharmacy | 74 S 100 E, Tremonton, UT 84337-1606 | 2019-01-09 |
| 1437620762 | Pthl LLC | Pharmacy | 1890 Bonanza Dr Ste 107, Park City, UT 84060-7217 | 2018-12-16 |
| 1093285785 | Richfield Community Pharmacy LLC | Pharmacy | 440 S Main St Ste B, Richfield, UT 84701-2855 | 2018-11-26 |
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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.