DR. DOUGLAS BURGOYNE


Address: 4190 Highland Dr, Suite 250, Salt Lake City, UT 84124-2600
Phone: 8018651997

DR. DOUGLAS BURGOYNE (NPI# 1417270323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417270323
Entity Type Individual
Full Name DR. DOUGLAS BURGOYNE
Credential PHARMD, RPH
Practice Address 4190 Highland Dr
Suite 250
Salt Lake City
UT 84124-2600
Practice Telephone 8018651997
Mailing Telephone 8018651997
Enumeration Date 2010-03-05
Last Update Date 2010-03-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 275563-1701 UT Pharmacy Service Providers

Office Location

Street Address 4190 HIGHLAND DR
SUITE 250
City SALT LAKE CITY
State UT
Zip Code 84124-2600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598742231 Kathleen Stroman King Psychologist 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 2005-12-23
1740562123 Michael Bryce Warner Dentist 4190 Highland Dr, Salt Lake City, UT 84124-2600 2011-09-13
1679743009 Bruce Kenneth Jacobson Psychologist 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 2008-02-29
1467678938 Grant B. Cannon Dentist 4190 Highland Dr, Suite 112, Salt Lake City, UT 84124-2600 2007-04-17
1396873279 Linda C Gurrister Social Worker 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 2007-03-01
1578605143 Janice Lynn Marcus Counselor 4190 Highland Dr, Salt Lake City, UT 84124-2600 2007-02-12
1548329964 Jeffrey Ralph Grant Social Worker 4190 Highland Dr, Suite 210, Salt Lake City, UT 84124-2600 2006-12-08
1578506697 Jan Ellen Kaderabek Burton Psychologist 4190 Highland Dr, Salt Lake City, UT 84124-2600 2006-06-14
1417913575 Bruce K Jacobson Ph D P C Clinic/Center 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 2006-04-26
1518934744 Karl E Seashore Counselor 4190 Highland Dr, Suite 211, Salt Lake City, UT 84124-2600 2006-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245830108 Chadwick M Smith Pharmacist 7494 S 2135 E, Salt Lake City, UT 84121-4970 2020-10-29
1568074318 Kelli Thorup Pharmacist 458 E Emerson Ave, Salt Lake City, UT 84115-1531 2020-08-21
1376154435 James Lindsay Clark Pharmacist 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 2020-08-12
1699392530 Rebecca Lavasani Pharmacist 1813 E Orchard Dr, Salt Lake City, UT 84106-3258 2020-06-26
1912541772 Alesia Lynne Hanson Pharmacist 2233 S Presidents Dr Ste B, Salt Lake City, UT 84120-7244 2019-11-04
1316596554 Adam Davies Pharmacist 1280 E Stringham Ave., Salt Lake City, UT 84106 2019-09-10
1346899085 Nathan Wilson Pharmacist 1950 Circle of Hope Dr Ste N1780, Salt Lake City, UT 84112-5500 2019-09-05
1437711918 Hillary Hansen Parkin Pharmacist 85 N Medical Dr, Salt Lake City, UT 84112-1100 2019-07-03
1972087328 Reza Salman Pharmacist 4720 S Fortuna Way, Salt Lake City, UT 84124-5620 2018-09-21
1801373022 John Gardner Pharmacist 1280 E Stringham Ave, Salt Lake City, UT 84106-2490 2018-07-20
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Competitor

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City SALT LAKE CITY
Zip Code 84124

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Dataset Information

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.

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