UTAH STATE HOSPITAL PHARMACY (NPI# 1316218449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316218449 |
| Entity Type | Organization |
| Organization Name | UTAH STATE HOSPITAL PHARMACY |
| Practice Address |
1300 East Center Street Provo UT 84606-3554 |
| Mailing Address |
Po Box 270 Provo UT 84603-0270 |
| Practice Telephone | 8013444601 |
| Practice Fax Number | 8013444604 |
| Mailing Telephone | 8013444601 |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | MR. DALLAS L. EARNSHAW (SUPERINTENDENT) |
| Authorized Official Telephone | 8013444200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers |
| Street Address |
1300 EAST CENTER STREET |
| City | PROVO |
| State | UT |
| Zip Code | 84606-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902099385 | Marlene Zouein Blaizot | Psychiatry & Neurology | 1300 East Center Street, Utah State Hospital, Provo, UT 84603-0000 | 2007-08-20 |
| 1487819298 | Timothy M Carr | Social Worker | 1300 East Center Street, Utah State Hospital, Provo, UT 84603 | 2008-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
| 1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
| 1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
| Find all providers in zip 84606 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1396935375 | Utah Valley Specialty Hospital (pharmacy) | Pharmacy | 306 River Bend Ln, Provo, UT 84604-5625 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124084835 | Icare Pharmacy | Pharmacy | 109 W.gentile Street, Layton, UT 84041 | 2006-04-21 |
| 1013354067 | Mckay-dee Hospital | Pharmacy | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2013-05-31 |
| 1609110816 | Ihc Health Services, Inc. | Pharmacy | 1000 N Main St, Richfield, UT 84701-1857 | 2012-11-15 |
| 1154674653 | American Fork Hospital | Pharmacy | 170 N 1100 E, American Fork, UT 84003-2096 | 2012-10-22 |
| 1225389810 | Park City Medical Center | Pharmacy | 900 Round Valley Dr, Park City, UT 84060-7552 | 2012-09-24 |
| 1972870517 | State of Utah | Pharmacy | 14425 Bitterbrush Ln, Draper, UT 84020-9501 | 2011-11-28 |
| 1942425475 | Castleview Hospital | Pharmacy | 300 N Hospital Dr, Price, UT 84501-4218 | 2007-04-17 |
| 1922160043 | Moab Valley Healthcare, Inc. | Pharmacy | 450 Williams Way, Moab, UT 84532-2065 | 2006-12-14 |
| 1396835229 | Univ Ut Neurophsychiatric Inst | Pharmacy | 501 Chipeta Way, Salt Lake City, UT 84108-1222 | 2006-10-13 |
| 1962504068 | Ihc Health Services Inc | Pharmacy | 126 White Sage Ave, Delta, UT 84624-8937 | 2006-09-01 |
| 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.