LIFECARE SPECIALTY (NPI# 1659612737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659612737 |
| Entity Type | Organization |
| Organization Name | LIFECARE SPECIALTY |
| Other Organization Name | LIFECARE SPECIALTY |
| Practice Address |
1646 Sunrise Place Ste B West Jordan UT 84084 |
| Practice Telephone | 8016760078 |
| Practice Fax Number | 8016760079 |
| Mailing Telephone | 8016760078 |
| Mailing Fax Number | 8016760079 |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | MR. TYLER L NIXON (OWNER) |
| Authorized Official Telephone | 8016760078 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
84735471704 | UT | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
8473547-1704 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4612481 | 01 |
| Other Name | Type Code |
|---|---|
| Lifecare Specialty | Doing Business As Name - Organization |
| Street Address |
1646 SUNRISE PLACE STE B |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
| 1952809873 | David D. Allred Counseling & Consulting, LLC | Marriage & Family Therapist | 1365 W Green Hedge Way, West Jordan, UT 84084 | 2018-01-25 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
| 1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
| 1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
| 1518217942 | Luciane Lopes De Oliveira | Student in an Organized Health Care Education/Training Program | 7601 Redwood Road, West Jordan, UT 84084 | 2012-09-13 |
| 1023368636 | Chelsey Tautkus | Social Worker | 7601 South Redwood Road, Building E, West Jordan, UT 84084 | 2012-09-12 |
| 1023310752 | Cody Mrbride | Student in an Organized Health Care Education/Training Program | 7601 S Redwood Rd., Suite E, West Jordan, UT 84084 | 2010-12-01 |
| Find all providers in zip 84084 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1609493667 | Family Plaza Pharmacy Inc | Pharmacy | 3570 W 9000 S Ste 150, West Jordan, UT 84088-8872 | 2020-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053929919 | Heartland Pharmacy - Utah | Pharmacy | 160 Cutler Dr, North Salt Lake, UT 84054-2966 | 2020-07-16 |
| 1548894322 | Payson Rx Express LLC | Pharmacy | 869 Turf Farm Rd, Payson, UT 84651-5709 | 2020-03-02 |
| 1093346546 | Liberty Drug LLC | Pharmacy | 497 W 4800 S Ste 100, Murray, UT 84123-4663 | 2020-02-03 |
| 1124666854 | Global Medical Therapeutics Inc | Pharmacy | 1890 S 3850 W # 121b, Salt Lake City, UT 84104-4909 | 2019-12-12 |
| 1649816000 | Sojo Family Pharmacy Inc. | Pharmacy | 3583 W 9800 S Ste 101, South Jordan, UT 84095-3210 | 2019-11-20 |
| 1093287757 | P4 Pharmacy | Pharmacy | 2948 S Redwood Rd Ste 110, West Valley City, UT 84119-2323 | 2018-12-19 |
| 1518486349 | Roe Rx Inc | Pharmacy | 1812 N 2000 W Ste 9, Farr West, UT 84404-8060 | 2017-09-13 |
| 1942728084 | Cns Professional Services | Pharmacy | 2820 S Redwood Rd, Salt Lake City, UT 84119-2375 | 2017-09-08 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1194101931 | Meds In Motion | Pharmacy | 4624 S Holladay Blvd Ste 3, Salt Lake City, UT 84117-7054 | 2015-08-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84084 |
Please comment or provide details below to improve the information on LIFECARE SPECIALTY.
| 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.