LISA ANN BULLOUGH (NPI# 1942411285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942411285 |
| Entity Type | Individual |
| Full Name | LISA ANN BULLOUGH |
| Other Name | LISA ANN ROBINSON |
| Credential | RPH |
| Practice Address |
3555 W 3500 S West Valley City UT 84119-2539 |
| Mailing Address |
5681 Sierra Grande Dr Taylorsville UT 84118-2668 |
| Practice Telephone | 8019636874 |
| Practice Fax Number | 8019659953 |
| Mailing Telephone | 8019640146 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 144972 | UT | Pharmacy Service Providers |
| Street Address |
3555 W 3500 S |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84119-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497049134 | Kyle D Hansen | Pharmacist | 3555 W 3500 S, West Valley City, UT 84119-2539 | 2011-05-28 |
| 1700119013 | Associated Fresh Markets Inc | Pharmacy | 3555 W 3500 S, West Valley City, UT 84119-2539 | 2009-09-18 |
| 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 | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1871003822 | Lindsey Carr | Pharmacist | 3747 S Constitution Blvd, West Valley City, UT 84119-3721 | 2017-10-04 |
| 1285903641 | Tu Phan | Pharmacist | 5630 W 4100 South, West Valley City, UT 84128 | 2011-12-14 |
| 1992023584 | Angela Kay Taylor | Pharmacist | 4247 S Deno Dr, West Valley City, UT 84120-5148 | 2010-05-06 |
| 1992923932 | William J Baker | Pharmacist | 1152 W. 2240 South Suite E, West Valley City, UT 84119 | 2007-04-23 |
| 1649224072 | Tuong Ngoc Hoang | Pharmacist | 3952 Sugar Beet Dr, West Valley City, UT 84120-3372 | 2006-05-20 |
| 1528059359 | Robert Reginald Bridges | Pharmacist | 3730 W 4700 S, West Valley City, UT 84118-3457 | 2005-11-01 |
| 1598365447 | Crystal Shipley | Pharmacist | 4570 S 4000 W, West Valley City, UT 84120-6232 | 2020-10-29 |
| 1669072971 | Jamie Galindo | Pharmacist | 3180 S 5600 W, West Valley City, UT 84120-1300 | 2020-10-27 |
| 1952901282 | Tony Aspiazu | Pharmacist | 3180 S 5600 W, West Valley City, UT 84120-1300 | 2020-10-27 |
| Find all providers in WEST VALLEY CITY | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84119 |
Please comment or provide details below to improve the information on LISA ANN BULLOUGH.
| 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.