FIRESTONE PHARMACY, LLC (NPI# 1720375660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720375660 |
| Entity Type | Organization |
| Organization Name | FIRESTONE PHARMACY, LLC |
| Practice Address |
450 S 400 E Bountiful UT 84010-4938 |
| Practice Telephone | 8013975900 |
| Mailing Telephone | 8013975900 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |
| Authorized Official Name | BRETT ROBERTSON (MANAGER) |
| Authorized Official Telephone | 8012965113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | FIRESTONE PHARMACY, LLC | 450 S 400 E Ste 50, Bountiful, UT 84010 |
| Street Address |
450 S 400 E |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245266824 | Theraprime Management, LLC | Occupational Therapy Assistant | 450 S 400 E, Bountiful, UT 84010-4938 | 2006-06-24 |
| 1174810014 | Value Med Rx, LLC | Pharmacy | 450 S 400 E, Bountiful, UT 84010-4938 | 2011-06-29 |
| 1528399573 | Meridian Rehabilitation Inc | Rehabilitation Hospital | 450 S 400 E, Bountiful, UT 84010-4938 | 2010-01-14 |
| 1467686758 | Ez Rx Inc | Pharmacy | 450 S 400 E, Ste 50, Bountiful, UT 84010-4938 | 2009-05-14 |
| 1891970174 | Kordell J Howell | Occupational Therapy Assistant | 450 S 400 E, Suite 200, Bountiful, UT 84010-4938 | 2008-01-04 |
| 1700072709 | Meridian Rehab Services Corp. | Skilled Nursing Facility | 450 S 400 E, Bountiful, UT 84010-4938 | 2007-09-24 |
| 1043240310 | Health Information Consulting, LLC | Durable Medical Equipment & Medical Supplies | 450 S 400 E, Suite 240, Bountiful, UT 84010-4938 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| 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 |
|---|---|---|---|---|
| 1053929919 | Heartland Pharmacy - Utah | Pharmacy | 160 Cutler Dr, North Salt Lake, UT 84054-2966 | 2020-07-16 |
| 1609493667 | Family Plaza Pharmacy Inc | Pharmacy | 3570 W 9000 S Ste 150, West Jordan, UT 84088-8872 | 2020-06-25 |
| 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 |
| 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.