UTAH CVS PHARMACY LLC (NPI# 1992727671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992727671 |
| Entity Type | Organization |
| Organization Name | UTAH CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16879 |
| Practice Address |
10130 S State St Sandy UT 84070-4118 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8012553101 |
| Practice Fax Number | 8014177870 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-11-25 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9610071-1703 | UT | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2100220 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16879 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1649693052 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 11385 S 700 E, Sandy, UT 84070-5363 | 2014-01-22 |
| 1184058810 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1273 N University Ave, Provo, UT 84604-2603 | 2013-08-29 |
| 1871853382 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5518 W High Market Dr, West Valley City, UT 84120-1306 | 2012-05-18 |
| 1811202187 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1110 S 300 W, Salt Lake City, UT 84101-3053 | 2010-08-11 |
| 1083798680 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7779 S Jordan Landing Blvd, West Jordan, UT 84084-1975 | 2006-10-24 |
| 1538181219 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 815 W 2000 N, Layton, UT 84041-1632 | 2006-07-24 |
| Street Address |
10130 S STATE ST |
| City | SANDY |
| State | UT |
| Zip Code | 84070-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255747531 | Stephanie Khong | Pharmacist | 10130 S State St, Sandy, UT 84070-4118 | 2014-07-07 |
| 1114213063 | Thomas Knudsen | Pharmacist | 10130 S State St, D255, Sandy, UT 84070-4118 | 2011-06-20 |
| 1114140779 | Brian John Larsen | Pharmacist | 10130 S State St, Sandy, UT 84070-4118 | 2007-04-11 |
| 1003948670 | Mark Alan Swenson | Pharmacist | 10130 S State St, Sandy, UT 84070-4118 | 2007-03-09 |
| 1821148677 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 10130 S State St, Sandy, UT 84070-4118 | 2007-01-12 |
| 1215094396 | Tami M Tokita | Pharmacist | 10130 S State St, Sandy, UT 84070-4118 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777568 | Megan Komatsu Inc. | Social Worker | 10815 700 East, Sandy, UT 84070 | 2020-10-13 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1245840552 | Kirandeep Kaur | Psychologist | 9678 700 E # 102, Sandy, UT 84070 | 2020-08-03 |
| 1740890961 | Elizabeth Lowe Madsen | Counselor | 9678 700 East Suite 102, Sandy, UT 84070 | 2020-08-03 |
| 1417597188 | Hayley Burr | Counselor | 8706 700 E, Suite 205, Sandy, UT 84070 | 2020-01-10 |
| 1821656422 | Karen Ritchie | Counselor | 9192 South 300 West, Sandy, UT 84070 | 2019-05-30 |
| 1679068159 | Derek Livingston | Counselor | 11075 State St #35, Sandy, UT 84070 | 2018-06-27 |
| 1891283735 | Alta Rx LLC. | Pharmacy | 9883 South 500 West, Sandy, UT 84070 | 2018-04-26 |
| 1790273704 | The Addiction Medicine Physicians Group, LLC | Registered Nurse | 9160 S 300 E. Ste 25, Sandy, UT 84070 | 2018-04-25 |
| 1841794765 | Caryn Beazel | Physical Therapist | 9350 150 E, Sandy, UT 84070 | 2018-03-23 |
| Find all providers in zip 84070 | ||||
| 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 |
|---|---|---|---|---|
| 1477898419 | Bella Brands, LLC | Pharmacy | 9826 S Jordan Gtwy, Sandy, UT 84070-9509 | 2012-12-03 |
| 1174856488 | Associated Fresh Markets Inc | Pharmacy | 1860 E 9400 S, Sandy, UT 84093-3000 | 2009-09-18 |
| 1932346103 | Meds for Vets LLC | Pharmacy | 9550 S State St, Sandy, UT 84070-3211 | 2009-01-09 |
| 1083724611 | Costco Wholesale Corporation | Pharmacy | 11100 S Auto Mall Dr, Sandy, UT 84070 | 2006-08-30 |
| 1033535166 | New Life Pharmacy LLC | Pharmacy | 9883 S 500 W, Sandy, UT 84070-2561 | 2014-03-13 |
| 1447367164 | Ihc Health Services Inc | Pharmacy | 9450 S 1300 E, Sandy, UT 84094-5555 | 2006-08-25 |
| 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 | ||||
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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.