BRIGHAM YOUNG UNIVERSITY (NPI# 1467584300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467584300 |
| Entity Type | Organization |
| Organization Name | BRIGHAM YOUNG UNIVERSITY |
| Other Organization Name | BRIGHAM YOUNG UNIVERSITY PHARMACY |
| Practice Address |
1750 N Wymount Terrace Dr Provo UT 84604-8600 |
| Practice Telephone | 8014225171 |
| Practice Fax Number | 8014220812 |
| Mailing Telephone | 8014225171 |
| Mailing Fax Number | 8014220812 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | JAMES C AVERETT (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8014229701 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
3594301703 | UT | Suppliers |
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
359430-1703 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4601971 | 01 |
| Other Name | Type Code |
|---|---|
| BRIGHAM YOUNG UNIVERSITY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790175628 | Brigham Young University | Family Medicine | 173 Richards Building, Dance Department, Provo, UT 84602-2000 | 2015-01-30 |
| 1194930495 | Brigham Young University | Physiological Laboratory | Y Be Fit, 127 Richards Building, Brigham Young University, Provo, UT 84602 | 2007-05-11 |
| 1083788111 | Brigham Young University | Local Education Agency (LEA) | 522 W 40 N, Orem, UT 84057-5310 | 2006-11-20 |
| 1215027099 | Brigham Young University | Student in an Organized Health Care Education/Training Program | 1130 Sfh Sports Med, Provo, UT 84602 | 2006-10-13 |
| 1942276092 | Brigham Young University | Point of Service | 1750 N Wymount Terrace Dr, 2300, Provo, UT 84602-4800 | 2006-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRIGHAM YOUNG UNIVERSITY | A41 Asb, Provo, UT 84602-1014 |
| Street Address |
1750 N WYMOUNT TERRACE DR |
| City | PROVO |
| State | UT |
| Zip Code | 84604-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787891 | Steven W Bloink | Family Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2005-08-17 |
| 1730679085 | Oak Hills Pharmacy LLC | Pharmacy | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2018-05-12 |
| 1548627763 | Kelly Smith | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2016-01-19 |
| 1669814505 | Brandon Thatcher | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2013-07-19 |
| 1699024927 | Steven Morris Blanthorn | Physical Therapist | 1750 N Wymount Terrace Dr, Byu Student Health Center, Provo, UT 84604-8600 | 2012-08-31 |
| 1174707046 | William R Graden | General Practice | 1750 N Wymount Terrace Dr, Provo, UT 84602-4405 | 2007-12-27 |
| 1477737419 | Lorraine R Davis | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-27 |
| 1407030695 | David P Brown | General Practice | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| 1144404385 | Mary Ann Evans | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| 1598949786 | Elizabeth K Blackwell | Family Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1801387626 | Planned Parenthood Association of Utah | Pharmacy | 160 S 1000 E Ste 120, Salt Lake City, UT 84102-1471 | 2018-05-29 |
| 1285125120 | Planned Parenthood Association of Utah | Pharmacy | 595 S Bluff St Ste 1, St George, UT 84770-3593 | 2018-05-26 |
| 1861983330 | Planned Parenthood Association of Utah | Pharmacy | 550 N Main St Ste 117, Logan, UT 84321-3984 | 2018-05-21 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1487869111 | Utah State University Student Health Center | Pharmacy | 850 E 1200 N, Logan, UT 84322-9100 | 2007-05-14 |
| 1740383884 | Bear Lake Community Health Center | Pharmacy | 325 W Logan Hwy, Garden City, UT 84028 | 2006-09-06 |
| 1487146841 | The Clinic At By Onsite Care | Pharmacy | 4000 N Flash Dr, Lehi, UT 84043-5148 | 2018-06-01 |
| 1902397847 | Planned Parenthood Association of Utah | Pharmacy | 1086 N 1200 W, Orem, UT 84057-2840 | 2018-05-26 |
| 1730670670 | Planned Parenthood Association of Utah | Pharmacy | 4387 Harrison Blvd Ste D8, Ogden, UT 84403-3267 | 2018-05-26 |
| 1558852491 | Planned Parenthood Association of Utah | Pharmacy | 1091 W South Jordan Pkwy, South Jordan, UT 84095-8820 | 2018-05-26 |
| 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.