WAYNE COMMUNITY HEALTH CENTER PHARMACY (NPI# 1376568188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376568188 |
| Entity Type | Organization |
| Organization Name | WAYNE COMMUNITY HEALTH CENTER PHARMACY |
| Practice Address |
128 South 300 West Bicknell UT 84715-0303 |
| Mailing Address |
128 South 300 West P.o. Box 303 Bicknell UT 84715-0303 |
| Practice Telephone | 4354253744 |
| Practice Fax Number | 4354251139 |
| Mailing Telephone | 4354253744 |
| Mailing Fax Number | 4354251139 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | DONAVAN SMITH (PHARMACIST) |
| Authorized Official Telephone | 4354253744 |
| Authorized Official Credential | RPH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4855620-1703 | UT | Suppliers |
| Street Address |
128 SOUTH 300 WEST |
| City | BICKNELL |
| State | UT |
| Zip Code | 84715-0303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791604 | Donavan Thales Smith | Pharmacist | 128 South 300 West, Bicknell, UT 84715 | 2005-06-27 |
| 1770039356 | Ryan White | Nurse Practitioner | 128 South 300 West, Bicknell, UT 84715-0303 | 2016-09-01 |
| 1699228692 | Andrew Dale Kennedy | Dentist | 128 South 300 West, Bicknell, UT 84715 | 2016-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780896308 | Wayne School District | Local Education Agency (LEA) | 79 N 100 W, Bicknell, UT 84715 | 2007-05-04 |
| 1093816282 | Wayne Community Health Centers Inc | Clinic/Center | 128 S 300 W, Bicknell, UT 84715 | 2006-09-26 |
| 1447351424 | Leland Jeffrey Chappell | Family Medicine | 128 S. 300 W., Bicknell, UT 84715 | 2006-09-25 |
| 1831387679 | Sherree C Rechtsteiner | Nurse Practitioner | 128 S 300 W, Bicknell, UT 84715 | 2007-10-05 |
| 1861874687 | Zachary Snedeger | Physician Assistant | 128 S 300 W, Bicknell, UT 84715-0303 | 2015-06-29 |
| 1750525630 | Jay Stilson | Dentist | 128 S 300 W, Bicknell, UT 84715-0303 | 2009-04-23 |
| 1437353133 | Rosalynd Nell Munson | Marriage & Family Therapist | 128 S 300 W, Bicknell, UT 84715-0303 | 2007-06-14 |
| 1972726859 | W. Scott Andersen | Dentist | 374 S. 300 E., Bicknell, UT 84715-0320 | 2007-04-10 |
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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 |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1598371973 | Mountain West Medicine Inc. | Pharmacy | 1551 Renaissance Towne Dr Ste 104, Bountiful, UT 84010-7682 | 2020-09-21 |
| 1518577741 | Black Panda LLC | Pharmacy | 2507 S State St, Salt Lake City, UT 84115-3109 | 2020-08-03 |
| 1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
| 1023637675 | Santaquin Market, Inc. | Pharmacy | 110 N. 400 E., Santaquin, UT 84655 | 2020-04-14 |
| 1891345237 | Strive Pharmacy Utah 1 LLC | Pharmacy | 8928 S State St, Sandy, UT 84070-2246 | 2019-09-17 |
| 1336705755 | Bear Lake Community Health Center | Pharmacy | 517 W 100 N Ste 210, Providence, UT 84332-9826 | 2019-05-10 |
| 1912470246 | Ridley's Family Markets Inc | Pharmacy | 74 S 100 E, Tremonton, UT 84337-1606 | 2019-01-09 |
| 1437620762 | Pthl LLC | Pharmacy | 1890 Bonanza Dr Ste 107, Park City, UT 84060-7217 | 2018-12-16 |
| 1093285785 | Richfield Community Pharmacy LLC | Pharmacy | 440 S Main St Ste B, Richfield, UT 84701-2855 | 2018-11-26 |
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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.