CENTRAL VALLEY MEDICAL CENTER PHARMACY (NPI# 1366552267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366552267 |
| Entity Type | Organization |
| Organization Name | CENTRAL VALLEY MEDICAL CENTER PHARMACY |
| Practice Address |
48 W 1500 N Nephi UT 84648-8900 |
| Practice Telephone | 4356233040 |
| Mailing Telephone | 4356233040 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVE NEIL BRECKENRIDGE (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 4356233040 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 48338381704 | UT | Pharmacy Service Providers |
| Street Address |
48 W 1500 N |
| City | NEPHI |
| State | UT |
| Zip Code | 84648-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821098088 | Bevan Vern Bastian | Radiology | 48 W 1500 N, Nephi, UT 84648-8900 | 2005-07-28 |
| 1093372120 | Landon Wickel | Physical Therapist | 48 W 1500 N, Nephi, UT 84648-8900 | 2019-05-23 |
| 1073078168 | Capri Seaberg | Speech-Language Pathologist | 48 W 1500 N, Nephi, UT 84648-8900 | 2019-02-04 |
| 1902380280 | Robert Lyle Nielson | Nurse Anesthetist, Certified Registered | 48 W 1500 N, Nephi, UT 84648-8900 | 2018-09-21 |
| 1851804272 | Meghan Elise Schmidt | Registered Nurse | 48 W 1500 N, Nephi, UT 84648-8900 | 2017-11-07 |
| 1700239902 | Kristiann Wright | Speech-Language Pathologist | 48 W 1500 N, Nephi, UT 84648-8900 | 2016-07-22 |
| 1407207368 | Anita Beales | Occupational Therapist | 48 W 1500 N, Nephi, UT 84648-8900 | 2016-06-22 |
| 1831575760 | Utah Podiatry Group PC | Podiatrist | 48 W 1500 N, Nephi, UT 84648-8900 | 2015-08-03 |
| 1205217726 | Tia Orton | Speech-Language Pathologist | 48 W 1500 N, Nephi, UT 84648-8900 | 2015-06-10 |
| 1114336443 | Chandler Squire | Physical Therapist | 48 W 1500 N, Nephi, UT 84648-8900 | 2014-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912243825 | Cory Schow | Counselor | 525 West 200 North, Mona, UT 84648 | 2012-12-20 |
| 1609174739 | Ryan Brown | Counselor | 525 W. 200 N., Mona, UT 84648 | 2011-03-15 |
| 1194021501 | Daniel Kimball | Counselor | 525 W. 200 N., Mona, UT 84648 | 2011-02-02 |
| 1417260100 | Lucas Kane | Counselor | 525 W 200 N, Mona, UT 84648 | 2010-07-22 |
| 1720316714 | Emily Spencer Poff | Family Medicine | 48 West 1500 North, Nephi, UT 84648 | 2009-12-02 |
| 1801047550 | Marian Janis Nielson | Nurse Practitioner | 48 W. 1500 N., Nephi, UT 84648 | 2008-09-30 |
| 1841481157 | Mosaic | Community/Behavioral Health | 1470 N 200 W, Box 63, Nephi, UT 84648 | 2007-08-05 |
| 1265632939 | Blue Sage Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 580 West 1500 South, Manti, UT 84648 | 2007-07-20 |
| 1528277407 | Juab Co School District | Speech-Language Pathologist | 346 E 600 N, Nephi, UT 84648 | 2007-05-21 |
| 1710194154 | John Willmore | Physical Therapist | 48 West 1600 North, Nephi, UT 84648 | 2007-05-16 |
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| 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 |
|---|---|---|---|---|
| 1538160502 | Steve Neil Breckenridge | Pharmacist | 48 W 1500 N, Nephi, UT 84648-8900 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952459 | Deanna Rae Moultrie | Pharmacist | 1268 N 225 W, Centerville, UT 84014-1104 | 2020-11-05 |
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1487255907 | Todd Shakespeare | Pharmacist | 1330 S Providence, Cedar City, UT 84720 | 2020-11-02 |
| 1245830108 | Chadwick M Smith | Pharmacist | 7494 S 2135 E, Salt Lake City, UT 84121-4970 | 2020-10-29 |
| 1356940209 | Melody Mercedes Padilla | Pharmacist | 325 S Orchard Dr Apt C106, North Salt Lake, UT 84054-1861 | 2020-10-21 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1568075463 | Brent West | Pharmacist | 19 W Clover Ln, Washington, UT 84780-8208 | 2020-08-28 |
| 1568074318 | Kelli Thorup | Pharmacist | 458 E Emerson Ave, Salt Lake City, UT 84115-1531 | 2020-08-21 |
| 1861003865 | Devin S Jackson | Pharmacist | 1311 E Draper Pkwy, Draper, UT 84020-8567 | 2020-08-12 |
| 1376154435 | James Lindsay Clark | Pharmacist | 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 | 2020-08-12 |
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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.