THE VILLAGE PANTRY #9 (NPI# 1114565280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114565280 |
| Entity Type | Organization |
| Organization Name | THE VILLAGE PANTRY #9 |
| Practice Address |
405 S Main St Springville UT 84663-2252 |
| Practice Telephone | 8014895618 |
| Practice Fax Number | 8014890441 |
| Mailing Telephone | 8014895618 |
| Mailing Fax Number | 8044890441 |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | LARRY PRETTYMAN (PHARMACIST) |
| Authorized Official Telephone | 8014895618 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Art City Pharmacy | Doing Business As Name - Organization |
| Street Address |
405 S MAIN ST |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416795 | London Teri Jackson | Nurse Practitioner | 405 S Main St, Springville, UT 84663-2252 | 2020-08-06 |
| 1003320821 | Larry T Prettyman | Pharmacist | 405 S Main St, Springville, UT 84663-2252 | 2017-12-01 |
| 1447436332 | Pace Healthcare, LLC | Nurse Practitioner | 405 S Main St, Springville, UT 84663-2252 | 2008-01-10 |
| 1558406181 | Village Pantry #9 | Pharmacy | 405 S Main St, Springville, UT 84663-2252 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1215479225 | Jaydynn Cusworth | Behavior Technician | 692 S 2800 W Unit I 101, Springville, UT 84663 | 2016-11-08 |
| 1245699602 | Pamela Jamison | Speech-Language Pathologist | 1072 Wildflower Way, Springville, UT 84663 | 2016-02-14 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1790084903 | Grant Lee Murdoch | Counselor | 1102 N 850 W, Springville, UT 84663 | 2011-03-28 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1891000790 | Christopher David Westover | Social Worker | 716 N 200 E, Springville, UT 84663 | 2010-08-16 |
| Find all providers in zip 84663 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053929919 | Heartland Pharmacy - Utah | Pharmacy | 160 Cutler Dr, North Salt Lake, UT 84054-2966 | 2020-07-16 |
| 1609493667 | Family Plaza Pharmacy Inc | Pharmacy | 3570 W 9000 S Ste 150, West Jordan, UT 84088-8872 | 2020-06-25 |
| 1548894322 | Payson Rx Express LLC | Pharmacy | 869 Turf Farm Rd, Payson, UT 84651-5709 | 2020-03-02 |
| 1093346546 | Liberty Drug LLC | Pharmacy | 497 W 4800 S Ste 100, Murray, UT 84123-4663 | 2020-02-03 |
| 1124666854 | Global Medical Therapeutics Inc | Pharmacy | 1890 S 3850 W # 121b, Salt Lake City, UT 84104-4909 | 2019-12-12 |
| 1649816000 | Sojo Family Pharmacy Inc. | Pharmacy | 3583 W 9800 S Ste 101, South Jordan, UT 84095-3210 | 2019-11-20 |
| 1093287757 | P4 Pharmacy | Pharmacy | 2948 S Redwood Rd Ste 110, West Valley City, UT 84119-2323 | 2018-12-19 |
| 1518486349 | Roe Rx Inc | Pharmacy | 1812 N 2000 W Ste 9, Farr West, UT 84404-8060 | 2017-09-13 |
| 1942728084 | Cns Professional Services | Pharmacy | 2820 S Redwood Rd, Salt Lake City, UT 84119-2375 | 2017-09-08 |
| 1194101931 | Meds In Motion | Pharmacy | 4624 S Holladay Blvd Ste 3, Salt Lake City, UT 84117-7054 | 2015-08-04 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVILLE |
| Zip Code | 84663 |
Please comment or provide details below to improve the information on THE VILLAGE PANTRY #9.
| 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.