ZACHARY BASS (NPI# 1063951986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063951986 |
| Entity Type | Individual |
| Full Name | ZACHARY BASS |
| Credential | CPHT |
| Practice Address |
4624 S Holladay Blvd Ste101 Salt Lake City UT 84117-7054 |
| Practice Telephone | 8013160790 |
| Practice Fax Number | 8013160791 |
| Mailing Telephone | 8013160790 |
| Mailing Fax Number | 8013160791 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 5579896-1717 | UT | Pharmacy Service Providers |
| Street Address |
4624 S HOLLADAY BLVD STE101 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84117-7054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184807208 | Aaron Eugene Frodsham | Radiology | 4624 S Holladay Blvd, Suite 202, Salt Lake City, UT 84117-7054 | 2007-12-12 |
| 1629454772 | Meds In Motion | Pharmacy | 4624 S Holladay Blvd, Suite 101, Salt Lake City, UT 84117-7054 | 2015-07-30 |
| 1982867008 | Katherine Ward Munt | Family Medicine | 4624 S Holladay Blvd, Salt Lake City, UT 84117-7054 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245796358 | Crystal Paredes | Pharmacy Technician | 1020 S Main St Ste 110, Salt Lake City, UT 84101-3176 | 2019-02-13 |
| 1982144341 | Sharlena Schacht | Pharmacy Technician | 1040 North 2200 West, Salt Lake City, UT 84116 | 2017-03-06 |
| 1588724397 | Jolley's Corner Variety, Inc. | Pharmacy Technician | 1676 E 1300 S, Salt Lake City, UT 84105-1704 | 2006-12-11 |
| 1265546584 | Jason Allen Dunn | Pharmacy Technician | 1260 E Vine St, Salt Lake City, UT 84121 | 2006-08-17 |
| 1700487048 | Michelle Teresa Wilcock | Pharmacy Technician | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-11-03 |
| 1023621232 | Thomas Alan Good Lance White Bull | Pharmacy Technician | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-08-26 |
| 1073125373 | Brenda Lee Waller | Pharmacy Technician | 729 N Redwood Rd, Salt Lake City, UT 84116-1909 | 2020-08-18 |
| 1134738792 | Bailee Marie Anderson | Pharmacy Technician | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-07-29 |
| 1538788013 | Andrew Ronald Johnson | Pharmacy Technician | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-04-14 |
| 1821562760 | Christopher Davis | Pharmacy Technician | 1020 S Main St, Salt Lake City, UT 84101-3176 | 2019-01-14 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84117 |
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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.