PREMIER MEDICAL DISTRIBUTION (NPI# 1891009122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891009122 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL DISTRIBUTION |
| Practice Address |
3447 Via Felicidad Way South Jordan UT 84095-8144 |
| Practice Telephone | 8016523353 |
| Mailing Telephone | 8016523353 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |
| Authorized Official Name | MR. JONATHAN D WOOD (MEMBER) |
| Authorized Official Telephone | 8016523353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881143444 | Premier Medical Distribution | Pharmacy | 12393 S Gateway Park Pl, Suite 75, Draper, UT 84020-2309 | 2016-09-23 |
| Street Address |
3447 VIA FELICIDAD WAY |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-8144 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770930802 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 5448 W Daybreak Pkwy, South Jordan, UT 84009-5901 | 2016-05-18 |
| 1528457694 | Chad Barksdale | Durable Medical Equipment & Medical Supplies | 11483 S Kestrel Rise Rd, South Jordan, UT 84095-5006 | 2015-01-13 |
| 1689912594 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3590 W South Jordan Pkwy, South Jordan, UT 84095-8916 | 2013-01-28 |
| 1326201708 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 11278 S Jordan Gtwy, South Jordan, UT 84095-4111 | 2008-07-07 |
| 1689857468 | Sleepwell Partner LLC | Durable Medical Equipment & Medical Supplies | 10499 S Jordan Gtwy, 2nd Floor, South Jordan, UT 84095-3915 | 2007-12-14 |
| 1629137682 | Mytrex Inc. | Durable Medical Equipment & Medical Supplies | 10321 Beckstead Ln, South Jordan, UT 84095-8801 | 2006-12-06 |
| 1992714224 | Dynamic Medical Systems, Inc. | Durable Medical Equipment & Medical Supplies | 9483 Wasatch Downs Cir, South Jordan, UT 84095-9289 | 2006-08-05 |
| 1295740231 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10429 S Redwood Rd, South Jordan, UT 84095-8502 | 2006-07-29 |
| 1356363030 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 11525 S Parkway Plaza Dr, South Jordan, UT 84095-5605 | 2006-07-24 |
| 1932124567 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 1634 W South Jordan Pkwy, South Jordan, UT 84095-4562 | 2006-07-13 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
Please comment or provide details below to improve the information on PREMIER MEDICAL DISTRIBUTION.
| 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.