GRANGER PHARMACY (NPI# 1922154756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922154756 |
| Entity Type | Organization |
| Organization Name | GRANGER PHARMACY |
| Other Organization Name | GRANGER PHARMACY,LLC |
| Practice Address |
2965 W 3500 S West Valley City UT 84119-3602 |
| Mailing Address |
2965 W 3500 S # W3500s West Valley City UT 84119-3602 |
| Practice Telephone | 8019653639 |
| Practice Fax Number | 8019659641 |
| Mailing Telephone | 8019653639 |
| Mailing Fax Number | 8019659641 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | SANDALEE CORBRIDGE (TECH) |
| Authorized Official Telephone | 4352456422 |
| Authorized Official Credential | TECH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
10310634-1703 | UT | Suppliers |
| Y | 333600000X | Pharmacy | 10310634-1703 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2139745 | 01 | |
| UT | 1922154756 | 05 |
| Other Name | Type Code |
|---|---|
| Granger Pharmacy,LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548791270 | Granger Pharmacy | Pharmacist | 3725 W 4100 S, West Valley, UT 84120-5530 | 2017-03-24 |
| 1740534056 | Granger Pharmacy | Pharmacy | 3725 W 4100 S, West Valley City, UT 84120-5530 | 2012-11-08 |
| Street Address |
2965 W 3500 S |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84119-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159368 | Granger Medical Specialists LLC | Clinic/Center | 2965 W 3500 S, West Valley City, UT 84119-3602 | 2020-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770508301 | Smiths Food & Drug Centers Inc | Pharmacy | 4643 S 4000 W, West Valley City, UT 84120-6233 | 2006-07-13 |
| 1922023555 | Smiths Food & Drug Centers Inc | Pharmacy | 5620 W 4100 S, West Valley City, UT 84128-4338 | 2006-07-13 |
| 1134617889 | Stoneridge Pharmacy LLC | Pharmacy | 2235 S 1300 W, West Valley City, UT 84119-7241 | 2018-04-27 |
| 1588709570 | Valley Pharmacy Inc | Pharmacy | 1819 W 3500 S, Ste 1g, West Valley City, UT 84119-3457 | 2007-02-20 |
| 1336239318 | University of Utah | Pharmacy | 3730 W 4700 S, West Valley City, UT 84118-3457 | 2006-10-13 |
| 1770514895 | K Mart Corp | Pharmacy | 3330 S 5600 W, West Valley City, UT 84120-1318 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093502 | Alan Keith Bennion | Pharmacy | 5761 S Surreyrun Rd, Murray, UT 84107-6610 | 2020-11-07 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1528525508 | Skull Valley Health Clinic | Pharmacy | 1929 N Aaron Dr Ste I, Tooele, UT 84074-8112 | 2019-02-26 |
| 1639649916 | Midland Pharmacy, LLC | Pharmacy | 4815 S 3500 W, Roy, UT 84067-9439 | 2018-11-29 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1114439775 | Fusion Pharmacy LLC | Pharmacy | 617 E Riverside Dr Ste 104, St George, UT 84790 | 2017-11-03 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1770021388 | Crimson Valley Pharmacy LLC | Pharmacy | 2351 S River Rd, Ste 3, Saint George, UT 84790-8280 | 2017-02-02 |
| 1013454396 | Gfy LLC | Pharmacy | 189 S State St Ste 120, Clearfield, UT 84015-1062 | 2017-01-25 |
| 1083157382 | Badger Management LLC | Pharmacy | 725 N Redwood Road, N Salt Lake, UT 84054 | 2016-11-18 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84119 |
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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.