CLEARFIELD JOB CORPS PHARMACY (NPI# 1871514844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871514844 |
| Entity Type | Organization |
| Organization Name | CLEARFIELD JOB CORPS PHARMACY |
| Other Organization Name | CLEARFIELD JOB CORPS PHARMACY |
| Practice Address |
20 W 1700 S Clearfield UT 84016-6004 |
| Mailing Address |
Po Box 160070 Clearfield UT 84016-0070 |
| Practice Telephone | 8014164467 |
| Practice Fax Number | 8014164636 |
| Mailing Telephone | 8014164467 |
| Mailing Fax Number | 8014164636 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2009-08-07 |
| Authorized Official Name | LORI HENRY (WELLNESS ADMINISTRATOR) |
| Authorized Official Telephone | 8014164628 |
| Authorized Official Credential | RM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
1268151704 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4601351 | 01 |
| Other Name | Type Code |
|---|---|
| CLEARFIELD JOB CORPS PHARMACY | Doing Business As Name - Organization |
| Street Address |
20 W 1700 S |
| City | CLEARFIELD |
| State | UT |
| Zip Code | 84016-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003803792 | Cynthia L. Haacke | Nurse Practitioner | 20 W 1700 S, Clearfield, UT 84016-6004 | 2005-09-29 |
| 1306320155 | Darryl Hardy | Nurse Practitioner | 20 W 1700 S, Clearfield, UT 84016-6004 | 2018-09-18 |
| 1184040081 | Lori Walker | Counselor | 20 W 1700 S, Clearfield, UT 84016-6004 | 2014-03-16 |
| 1487886560 | Brandy M Bates | Physician Assistant | 20 W 1700 S, Clearfield, UT 84016-6004 | 2009-08-21 |
| 1295837888 | Kelly James Wood | Physician Assistant | 20 W 1700 S, Clearfield, UT 84016-6004 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831637305 | Futura Medical Clinic | Clinic/Center | Bldg H11 Freeport Center, Clearfield, UT 84016 | 2017-02-06 |
| 1699122275 | Specialty Marketing, LLC | Dentist | Bldg D 12 Freeport Industrial Parkway, Clearfield, UT 84016 | 2016-05-24 |
| 1225338130 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | Freeport Center, Bldg H-12, Clearfield, UT 84016 | 2010-10-26 |
| 1780944025 | Ihc Health Services Inc | Family Medicine | Freeport Center, Bldg D-12, Clearfield, UT 84016-0010 | 2012-05-21 |
| 1740381490 | Jeffrey Kirk Wood | Dentist | 20 W. 1700 S., Clearfield, UT 84016-0074 | 2006-09-26 |
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1114946282 | Clearfield Hospital | Pharmacy | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124084835 | Icare Pharmacy | Pharmacy | 109 W.gentile Street, Layton, UT 84041 | 2006-04-21 |
| 1013354067 | Mckay-dee Hospital | Pharmacy | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2013-05-31 |
| 1609110816 | Ihc Health Services, Inc. | Pharmacy | 1000 N Main St, Richfield, UT 84701-1857 | 2012-11-15 |
| 1154674653 | American Fork Hospital | Pharmacy | 170 N 1100 E, American Fork, UT 84003-2096 | 2012-10-22 |
| 1225389810 | Park City Medical Center | Pharmacy | 900 Round Valley Dr, Park City, UT 84060-7552 | 2012-09-24 |
| 1316218449 | Utah State Hospital Pharmacy | Pharmacy | 1300 East Center Street, Provo, UT 84606-3554 | 2012-01-20 |
| 1972870517 | State of Utah | Pharmacy | 14425 Bitterbrush Ln, Draper, UT 84020-9501 | 2011-11-28 |
| 1396935375 | Utah Valley Specialty Hospital (pharmacy) | Pharmacy | 306 River Bend Ln, Provo, UT 84604-5625 | 2007-07-26 |
| 1942425475 | Castleview Hospital | Pharmacy | 300 N Hospital Dr, Price, UT 84501-4218 | 2007-04-17 |
| 1922160043 | Moab Valley Healthcare, Inc. | Pharmacy | 450 Williams Way, Moab, UT 84532-2065 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
| City | CLEARFIELD |
| Zip Code | 84016 |
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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.